| 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 | Refuse to join a cheat in some fashion. |
| 2 | Promoted to rank 1 |
| 3 | Continued as Physician at age 26 |
| 3 | Betrayal. Convert an Ally into a Rival or Enemy. |
| 4 | Continued as Physician at age 30 |
| 4 | Advanced training in a specialist field. |
| 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 | Continued as Physician at age 38 |
| 6 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 6 | Promoted to rank 4 |
| 7 | Continued as Physician at age 42 |
| 7 | Win a prestigious prize for your work. |
| 7 | Promoted to rank 5 |
| 8 | Continued as Physician at age 46 |
| 8 | Advanced training in a specialist field. |
| 8 | Forced to muster out. |
| 9 | Became a Colonist at age 50 |
| 9 | Spent time maintaining and using heavy vehicles. |
| 9 | Promoted to rank 1 |
| 10 | Aging Crisis. Owe 10,000 for medical bills. |
| 10 | Continued as Colonist at age 54 |
| 10 | You learn something you should not have – a corporate secret, a political scandal – which you can profit from illegally. |
| 10 | Gain a criminal contact. |
| 10 | Promoted to rank 2 |
| 10 | Is now a Settler |
| 11 | Aging Crisis. Owe 10,000 for medical bills. |
| 11 | Continued as Colonist at age 58 |
| 11 | Spent time maintaining and using heavy vehicles. |
| 12 | Continued as Colonist at age 62 |
| 12 | Victim of a crime |
| 12 | Forced to muster out. |
| 13 | Aging Crisis. Owe 10,000 for medical bills. |
| 13 | Retired at age 66 |
| 13 | Betrayal. Convert an Ally into a Rival or Enemy. |
| 14 | Aging Crisis. Owe 60,000 for medical bills. |
| 14 | Birth or Death involving a family member or close friend. |
| 15 | Aging Crisis. Owe 30,000 for medical bills. |