| Term | History |
| 1 | Became a Physician at age 18 |
| 1 | Find Ancient Technology. |
| 1 | Promoted to rank 1 |
| 2 | Continued as Physician at age 22 |
| 2 | Refuse to join a cheat in some fashion. |
| 3 | Continued as Physician at age 26 |
| 3 | Make a breakthrough in your field. |
| 3 | Promoted to rank 2 |
| 4 | Continued as Physician at age 30 |
| 4 | Agreed to perform research that goes against your conscience. Gain 3 Enemies. |
| 4 | Promoted to rank 3 |
| 5 | Continued as Physician at age 34 |
| 5 | Make a breakthrough in your field. |
| 5 | Promoted to rank 4 |
| 6 | Continued as Physician at age 38 |
| 6 | Advanced training in a specialist field. |
| 7 | Continued as Physician at age 42 |
| 7 | A disaster or war strikes. |
| 7 | Lost eye or limb. Fully recovered. |
| 7 | The planetary government interferes with your research for political or religious reasons. You continue working secretely. |
| 7 | Promoted to rank 5 |
| 8 | Continued as Physician at age 46 |
| 8 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 8 | Promoted to rank 6 |
| 9 | Continued as Physician at age 50 |
| 9 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 9 | Promoted to rank 7 |
| 10 | Continued as Physician at age 54 |
| 10 | Make a breakthrough in your field. |
| 10 | Forced to muster out. |
| 11 | Became a Flight at age 58 |
| 11 | Is now a Crewman |
| 11 | Lost eye or limb. Fully recovered. |
| 12 | Became a Barbarian at age 62 |
| 12 | Betrayed by a friend. One of your Contacts or Allies betrays you, ending your career. That Contact or Ally becomes a Rival or Enemy. |
| 13 | Aging Crisis. Owe 10,000 for medical bills. |
| 13 | Retired at age 66 |
| 13 | Moved to a new world. |
| 14 | Aging Crisis. Owe 60,000 for medical bills. |
| 14 | Gained a contact. |
| 15 | Aging Crisis. Owe 60,000 for medical bills. |
| 15 | Betrayal. Convert an Ally into a Rival or Enemy. |
| 16 | Aging Crisis. Owe 40,000 for medical bills. |