| Term | History |
| 1 | Became a Physician at age 18 |
| 1 | Win a prestigious prize for your work. |
| 2 | Continued as Physician at age 22 |
| 2 | Win a prestigious prize for your work. |
| 2 | Promoted to rank 1 |
| 3 | Continued as Physician at age 26 |
| 3 | Advanced training in a specialist field. |
| 3 | Promoted to rank 2 |
| 4 | Continued as Physician at age 30 |
| 4 | Work leads to a considerable breakthrough. |
| 4 | Promoted to rank 3 |
| 5 | Continued as Physician at age 34 |
| 5 | Work for an eccentric but brilliant mentor, who becomes an Ally. |
| 5 | Promoted to rank 4 |
| 6 | Continued as Physician at age 38 |
| 6 | Refuse to join a cheat in some fashion. |
| 7 | Voluntarily left Physician |
| 7 | Switched to Scientist at age 42 |
| 7 | Agreed to perform research that goes against your conscience. Gain 1 Enemies. |
| 8 | Continued as Scientist at age 46 |
| 8 | Make a breakthrough in your field. |
| 8 | Promoted to rank 1 |
| 9 | Continued as Scientist at age 50 |
| 9 | Lost eye or limb. Fully recovered. |
| 10 | Aging Crisis. Owe 20,000 for medical bills. |
| 10 | Retired at age 54 |
| 10 | Moved to a new world. |
| 11 | Aging Crisis. Owe 60,000 for medical bills. |
| 11 | Moved to a new world. |
| 12 | Aging Crisis. Owe 50,000 for medical bills. |
| 12 | A romantic relationship ends badly. Gain a Rival or Enemy. |
| 13 | Aging Crisis. Owe 50,000 for medical bills. |
| 13 | A romantic relationship deepens, possibly leading to marriage. Gain an Ally. |
| 14 | Aging Crisis. Owe 20,000 for medical bills. |