| Term | History |
| 1 | Became a Physician at age 18 |
| 1 | Refused to perform research that goes against your conscience. |
| 2 | Continued as Physician at age 22 |
| 2 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 3 | Continued as Physician at age 26 |
| 3 | Assigned to work on a secret project for a patron or organisation. |
| 4 | Continued as Physician at age 30 |
| 4 | Work leads to a considerable breakthrough. |
| 4 | Promoted to rank 1 |
| 5 | Continued as Physician at age 34 |
| 5 | A rival researcher blackens your name or steals your research. Gain a Rival. |
| 6 | Aging Crisis. Owe 10,000 for medical bills. |
| 6 | Continued as Physician at age 38 |
| 6 | Good fortune |
| 6 | Promoted to rank 2 |
| 7 | Aging Crisis. Owe 50,000 for medical bills. |
| 7 | Continued as Physician at age 42 |
| 7 | A rival researcher blackens your name or steals your research. Gain a Rival. |
| 8 | Aging Crisis. Owe 10,000 for medical bills. |
| 8 | Continued as Physician at age 46 |
| 8 | Make a breakthrough in your field. |
| 8 | Forced to continue current assignment |
| 8 | Promoted to rank 3 |
| 9 | Aging Crisis. Owe 20,000 for medical bills. |
| 9 | Continued as Physician at age 50 |
| 9 | Your work is sabotaged by unknown parties. You may salvage what you can and give up. |
| 10 | Aging Crisis. Owe 20,000 for medical bills. |
| 10 | Retired at age 54 |
| 10 | A romantic relationship ends badly. Gain a Rival or Enemy. |
| 11 | Aging Crisis. Owe 10,000 for medical bills. |