| Term | History |
| 1 | Became a Physician at age 18 |
| 1 | Refuse to join a cheat in some fashion. |
| 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 | Advanced training in a specialist field. |
| 3 | Promoted to rank 2 |
| 4 | Continued as Physician at age 30 |
| 4 | Advanced training in a specialist field. |
| 5 | Continued as Physician at age 34 |
| 5 | Win a prestigious prize for your work. |
| 5 | Promoted to rank 3 |
| 6 | Continued as Physician at age 38 |
| 6 | Entangled in a bureaucratic or legal morass that distracts you from your work. |
| 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 | Switched to Field Researcher at age 46 |
| 8 | Betrayal. Convert an Ally into a Rival or Enemy. |
| 9 | Continued as Field Researcher at age 50 |
| 9 | A disaster leaves several injured, and others blame you, forcing you to leave your career. Gain a Rival. |
| 9 | Lost eye or limb. Fully recovered. Owe 2,500 for medical bills. |
| 10 | Became a Barbarian at age 54 |
| 10 | Attacked by enemies and injured. |
| 10 | Lightly injured, no permanent damage. Fully recovered. |
| 10 | Gain Enemy if you don't already have one. |
| 11 | Continued as Barbarian at age 58 |
| 11 | Lost eye or limb. Fully recovered. Owe 5,000 for medical bills. |
| 12 | Switched to Scavenger at age 62 |
| 12 | run afoul of a criminal gang, corrupt bureaucrat or other foe. Gain an Enemy. |
| 13 | Aging Crisis. Owe 30,000 for medical bills. |