| Term | History |
| 1 | Became a Physician at age 18 |
| 1 | Advanced training in a specialist field. |
| 2 | Continued as Physician at age 22 |
| 2 | Work for an eccentric but brilliant mentor, who becomes an Ally. |
| 3 | Continued as Physician at age 26 |
| 3 | Win a prestigious prize for your work. |
| 3 | Promoted to rank 1 |
| 4 | Continued as Physician at age 30 |
| 4 | 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. |
| 4 | Your work is sabotaged by unknown parties. You start again from scratch. |
| 4 | Gain an Enemy |
| 4 | Promoted to rank 2 |
| 5 | Continued as Physician at age 34 |
| 5 | Advanced training in a specialist field. |
| 5 | Promoted to rank 3 |
| 6 | Voluntarily left Physician |
| 6 | Became a Dilettante at age 38 |
| 6 | Is now a Wastrel |
| 6 | Refuse to join a conspiracy of nobles. Gain an Enemy. |
| 6 | Promoted to rank 1 |
| 7 | Continued as Dilettante at age 42 |
| 7 | Betrayal. Convert an Ally into a Rival or Enemy. |
| 7 | Promoted to rank 2 |
| 7 | Is now a Ingrate |
| 8 | Continued as Dilettante at age 46 |
| 8 | Refused a challenge to a duel for your honour and standing. |
| 8 | Promoted to rank 3 |
| 9 | Continued as Dilettante at age 50 |
| 9 | Refuse to join a conspiracy of nobles. Gain an Enemy. |
| 9 | Promoted to rank 4 |
| 9 | Is now a Black Sheep |
| 10 | Continued as Dilettante at age 54 |
| 10 | time as a ruler or playboy gives you a wide range of experiences. |
| 10 | Forced to muster out. |
| 11 | Aging Crisis. Owe 20,000 for medical bills. |
| 11 | Retired at age 58 |
| 11 | Good fortune |
| 12 | Aging Crisis. Owe 30,000 for medical bills. |
| 12 | Gained a contact. |
| 13 | Aging Crisis. Owe 10,000 for medical bills. |
| 13 | Gained a contact. |
| 14 | Aging Crisis. Owe 20,000 for medical bills. |