| Term | History |
| 1 | Became a Physician at age 18 |
| 1 | Make a breakthrough in your field. |
| 2 | Continued as Physician at age 22 |
| 2 | Make a breakthrough in your field. |
| 3 | Continued as Physician at age 26 |
| 3 | Refuse to join a cheat in some fashion. |
| 4 | Continued as Physician at age 30 |
| 4 | Assigned to work on a secret project for a patron or organisation. |
| 5 | Continued as Physician at age 34 |
| 5 | Caught cheating in some fashion, advancing your career and research by stealing another’s work, using an alien device, taking a shortcut and so forth. |
| 5 | A rival researcher blackens your name or steals your research. Gain a Rival. |
| 5 | Gain an Enemy |
| 5 | Promoted to rank 1 |
| 6 | Continued as Physician at age 38 |
| 6 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 6 | Promoted to rank 2 |
| 7 | Continued as Physician at age 42 |
| 7 | Caught cheating in some fashion, advancing your career and research by stealing another’s work, using an alien device, taking a shortcut and so forth. |
| 7 | An expedition or voyage goes wrong, leaving you stranded in the wilderness. |
| 7 | Gain an Enemy |
| 7 | Forced to muster out. |
| 8 | Aging Crisis. Owe 60,000 for medical bills. |
| 8 | Retired at age 46 |
| 8 | Betrayal. Convert an Ally into a Rival or Enemy. |
| 9 | Aging Crisis. Owe 30,000 for medical bills. |
| 9 | A romantic relationship ends badly. Gain a Rival or Enemy. |
| 10 | Aging Crisis. Owe 30,000 for medical bills. |