| Term | History |
| 1 | Became a Physician at age 18 |
| 1 | Advanced training in a specialist field. |
| 1 | Promoted to rank 1 |
| 2 | Continued as Physician at age 22 |
| 2 | Work for an eccentric but brilliant mentor, who becomes an Ally. |
| 2 | Promoted to rank 2 |
| 3 | Continued as Physician at age 26 |
| 3 | Caught cheating in some fashion, advancing your career and research by stealing another’s work, using an alien device, taking a shortcut and so forth. |
| 3 | Scarred. Owe 2,500 for medical bills. |
| 3 | Gain an Enemy |
| 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 | Victim of a crime |
| 6 | Continued as Physician at age 38 |
| 6 | Cheated in some fashion, advancing your career and research by stealing another’s work, using an alien device, taking a shortcut and so forth. |
| 6 | Gain an Enemy |
| 6 | Promoted to rank 4 |
| 7 | Continued as Physician at age 42 |
| 7 | Advanced training in a specialist field. |
| 7 | Promoted to rank 5 |
| 8 | Voluntarily left Physician |
| 8 | Became a Colonist at age 46 |
| 8 | A revolution, attack or other unusual event throws your life into chaos, forcing you to leave the planet. |
| 9 | Became a Merchant Marine at age 50 |
| 9 | Is now a Crewman |
| 9 | Smuggle illegal items onto a planet. |
| 9 | Promoted to rank 1 |
| 9 | Is now a Senior Crewman |
| 10 | Continued as Merchant Marine at age 54 |
| 10 | A good deal ensures you are living the high life for a few years. |
| 10 | Promoted to rank 2 |
| 10 | Is now a 4th Officer |
| 11 | Aging Crisis. Owe 50,000 for medical bills. |