| 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 | Advanced training in a specialist field. |
| 3 | Continued as Physician at age 26 |
| 3 | Work leads to a considerable breakthrough. |
| 3 | Promoted to rank 1 |
| 4 | Continued as Physician at age 30 |
| 4 | Make a breakthrough in your field. |
| 4 | Promoted to rank 2 |
| 5 | Continued as Physician at age 34 |
| 5 | Assigned to work on a secret project for a patron or organisation. |
| 5 | Promoted to rank 3 |
| 6 | Continued as Physician at age 38 |
| 6 | Win a prestigious prize for your work. |
| 6 | Promoted to rank 4 |
| 7 | Continued as Physician at age 42 |
| 7 | A rival researcher blackens your name or steals your research. Gain a Rival. |
| 7 | Promoted to rank 5 |
| 8 | Continued as Physician at age 46 |
| 8 | 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. |
| 8 | An expedition or voyage goes wrong, leaving you stranded in the wilderness. |
| 8 | Gain an Enemy |
| 8 | Promoted to rank 6 |
| 9 | Aging Crisis. Owe 60,000 for medical bills. |
| 9 | Continued as Physician at age 50 |
| 9 | A disaster leaves several injured, and others blame you, forcing you to leave your career. Gain a Rival. |
| 9 | Scarred. Fully recovered. |
| 10 | Aging Crisis. Owe 20,000 for medical bills. |
| 10 | Retired at age 54 |
| 10 | Gained a contact. |
| 11 | Aging Crisis. Owe 40,000 for medical bills. |
| 11 | Lost eye or limb. Owe 5,000 for medical bills. |
| 12 | Aging Crisis. Owe 30,000 for medical bills. |
| 12 | A romantic relationship deepens, possibly leading to marriage. Gain an Ally. |
| 13 | Aging Crisis. Owe 60,000 for medical bills. |