| Term | History |
|---|
| 1 | Became a Physician at age 18 |
| 1 | Make a breakthrough in your field. |
| 1 | Promoted to rank 1 |
| 2 | Continued as Physician at age 22 |
| 2 | Advanced training in a specialist field. |
| 2 | Promoted to rank 2 |
| 3 | Voluntarily left Physician |
| 3 | Entered University at age 26 |
| 3 | Join a social movement. |
| 3 | Graduated at age 30. |
| 4 | Continued as Physician at age 30 |
| 4 | Win a prestigious prize for your work. |
| 4 | Promoted to rank 3 |
| 5 | Continued as Physician at age 34 |
| 5 | Moved to a new world. |
| 6 | Continued as Physician at age 38 |
| 6 | An expedition or voyage goes wrong, leaving you stranded in the wilderness. |
| 6 | Promoted to rank 4 |
| 7 | Continued as Physician at age 42 |
| 7 | Refuse to join a cheat in some fashion. |
| 7 | Promoted to rank 5 |
| 8 | Continued as Physician at age 46 |
| 8 | Betrayal. Convert an Ally into a Rival or Enemy. |
| 8 | Forced to muster out. |
| 9 | Aging Crisis. Owe 10,000 for medical bills. |
| 9 | Retired at age 50 |
| 9 | Moved to a new world. |
| 10 | Aging Crisis. Owe 10,000 for medical bills. |
| 10 | Good fortune |
| 11 | Aging Crisis. Owe 20,000 for medical bills. |
| 11 | Accused of a crime |
| 12 | Aging Crisis. Owe 10,000 for medical bills. |
| 12 | Find Ancient Technology. |
| 13 | Aging Crisis. Owe 10,000 for medical bills. |
| 13 | Gained a contact. |
| 14 | Aging Crisis. Owe 10,000 for medical bills. |
| 14 | Accused of a crime |
| 15 | Aging Crisis. Owe 20,000 for medical bills. |
| 15 | A romantic relationship deepens, possibly leading to marriage. Gain an Ally. |
| 16 | Aging Crisis. Owe 40,000 for medical bills. |