| Term | History |
| 1 | Became a Physician at age 18 |
| 1 | Betrayal. Convert an Ally into a Rival or Enemy. |
| 2 | Continued as Physician at age 22 |
| 2 | Advanced training in a specialist field. |
| 2 | Promoted to rank 1 |
| 3 | Continued as Physician at age 26 |
| 3 | Cheated in some fashion, advancing your career and research by stealing another’s work, using an alien device, taking a shortcut and so forth. |
| 3 | Gain an Enemy |
| 3 | Promoted to rank 2 |
| 4 | Continued as Physician at age 30 |
| 4 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 4 | Promoted to rank 3 |
| 5 | Continued as Physician at age 34 |
| 5 | Win a prestigious prize for your work. |
| 5 | Promoted to rank 4 |
| 6 | Continued as Physician at age 38 |
| 6 | Advanced training in a specialist field. |
| 6 | Promoted to rank 5 |
| 7 | Voluntarily left Physician |
| 7 | Became a Surveyor at age 42 |
| 7 | Nearly killed. Fully recovered. Owe 25,000 for medical bills. |
| 8 | Switched to Courier at age 46 |
| 8 | Your ship is damaged, and you have to hitch-hike your way back across the stars to the nearest scout base. |
| 8 | Gain 1 Contacts. Gain 2 Enemies. |
| 9 | Aging Crisis. Owe 20,000 for medical bills. |
| 9 | Retired at age 50 |
| 9 | Moved to a new world. |
| 10 | Aging Crisis. Owe 60,000 for medical bills. |
| 10 | A new romantic starts. Gain an Ally. |
| 11 | Aging Crisis. Owe 20,000 for medical bills. |
| 11 | Good fortune |
| 12 | Aging Crisis. Owe 60,000 for medical bills. |
| 12 | A romantic relationship ends badly. Gain a Rival or Enemy. |
| 13 | Aging Crisis. Owe 50,000 for medical bills. |