| Term | History |
| 1 | Became a Physician at age 18 |
| 1 | Refuse to join a cheat in some fashion. |
| 1 | Promoted to rank 1 |
| 2 | Continued as Physician at age 22 |
| 2 | Advanced training in a specialist field. |
| 2 | Promoted to rank 2 |
| 3 | Continued as Physician at age 26 |
| 3 | Make a breakthrough in your field. |
| 3 | Promoted to rank 3 |
| 4 | Voluntarily left Physician |
| 4 | Became a Diplomat at age 30 |
| 4 | Is now a Intern |
| 4 | Birth or Death involving a family member or close friend. |
| 4 | Promoted to rank 1 |
| 4 | Is now a 3rd Secretary |
| 5 | Continued as Diplomat at age 34 |
| 5 | Inherit a gift from a rich relative. |
| 5 | Promoted to rank 2 |
| 5 | Is now a 2nd Secretary |
| 6 | Continued as Diplomat at age 38 |
| 6 | Birth or Death involving a family member or close friend. |
| 7 | Continued as Diplomat at age 42 |
| 7 | Refuse to join a conspiracy of nobles. Gain an Enemy. |
| 8 | Continued as Diplomat at age 46 |
| 8 | time as a ruler or playboy gives you a wide range of experiences. |
| 8 | Promoted to rank 3 |
| 8 | Is now a 1st Secretary |
| 9 | Voluntarily left Diplomat |
| 9 | Became a Barbarian at age 50 |
| 10 | Continued as Barbarian at age 54 |
| 10 | Lightly injured, no permanent damage. Fully recovered. |
| 11 | Returned to Physician at age 58 |
| 11 | Cheated in some fashion, advancing your career and research by stealing another’s work, using an alien device, taking a shortcut and so forth. |
| 11 | Gain an Enemy |
| 12 | Aging Crisis. Owe 30,000 for medical bills. |
| 12 | Continued as Physician at age 62 |
| 12 | Refused to perform research that goes against your conscience. |
| 12 | Promoted to rank 4 |
| 13 | Aging Crisis. Owe 10,000 for medical bills. |
| 13 | Continued as Physician at age 66 |
| 13 | Work for an eccentric but brilliant mentor, who becomes an Ally. |
| 13 | Promoted to rank 5 |
| 14 | Aging Crisis. Owe 20,000 for medical bills. |