Start Medicine as House Officer at grade I: ₦18,300 per completed shift and ₦91,500 across its scheduled week. You need Fitness level 3 to enter this career. At Chief Medical Director, the base salary reaches ₦90,000 per shift and ₦450,000 per scheduled week.
At the top rank, its ₦9,000.00 per scheduled work hour places it 20 out of 33 careers. Among Fitness careers with 10-hour schedules, Medicine ranks 1 of 2.
How much does each rank pay?
The week below contains 5 scheduled shifts. The first four ranks progress through salary grades I, II, III and IV; Chief Medical Director has one listed base salary. Read each four-part figure from grade I to grade IV.
| House Officer | Fitness 3 | ₦18,300 / ₦19,200 / ₦20,100 / ₦21,000 | ₦91,500 / ₦96,000 / ₦100,500 / ₦105,000 |
| Resident Doctor | Fitness 4 | ₦27,000 / ₦28,300 / ₦29,700 / ₦31,000 | ₦135,000 / ₦141,500 / ₦148,500 / ₦155,000 |
| Registrar | Fitness 5 | ₦38,300 / ₦40,200 / ₦42,100 / ₦44,000 | ₦191,500 / ₦201,000 / ₦210,500 / ₦220,000 |
| Consultant | Fitness 7 | ₦52,200 / ₦54,800 / ₦57,400 / ₦60,000 | ₦261,000 / ₦274,000 / ₦287,000 / ₦300,000 |
| Chief Medical Director | Fitness 9 | ₦90,000 | ₦450,000 |
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These figures use completed shifts and base gross pay. Your university degree, employee bonus and active salary policy can raise the payout, and payroll tax uses your accumulated weekly wages.
How do I train for the next promotion?
Train Fitness to reach 4 for Resident Doctor.
Times use game minutes. Higher base training points give more training. Gains slow at higher skill levels; your trait, mood and background also affect them. Check your quoted price before starting.
| Beach Football | Elegushi Beach · 08:00–04:00 next day | 60 min | ₦0 | 1.2 |
| Lift Weights | i-Fitness · 05:00–22:00 | 60 min | ₦400 | 2 |
| Run on the Treadmill | i-Fitness · 05:00–22:00 | 45 min | ₦300 | 1.2 |
| Session with a Coach | i-Fitness · 05:00–22:00 | 60 min | ₦1,000 | 3 |
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Choose Beach Football when your activity budget is ₦0.
For ₦400, Lift Weights takes 60 game minutes and gives 2 base Fitness training points. Choose it for its paid training value in this shortlist.
For ₦300, Run on the Treadmill takes 45 game minutes and gives 1.2 base Fitness training points. Choose it for its shorter paid session in this shortlist.
For ₦1,000, Session with a Coach takes 60 game minutes and gives 3 base Fitness training points. Choose it for its largest paid base training contribution in this shortlist.
Home training
| Fetch Water | Water Drum & Jerrycans · purchase ₦800 | 25 min | ₦0 fixed activity fee | 0.29 |
| Walk Around the Street | Bingo the Local Dog · purchase ₦25,000 | 40 min | ₦0 fixed activity fee | 0.33 |
| Work Out | Dumbbell Rack · purchase ₦3,400 | 60 min | ₦0 fixed activity fee | 1.4 |
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Available while detained
| Do Push-ups | 20 min | ₦0 fixed activity fee | 0.27 |
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Doctor matches this career: ₦3,500 per class across 5 classes, giving ₦17,500 base course total. Its certificate lowers the entry skill target by 1 level, to 2, with a minimum target of level 1. Check the class quote before enrolling; active price modifiers can change each payment.
Pilot is another Fitness study option: ₦4,000 per class, 5 classes and ₦20,000 in base total fees. Check the class quote before enrolling; active price modifiers can change each payment.
Nursing Science is a university route for Fitness.
Gym Rat multiplies Fitness training by 1.6.
Reach 100 performance and complete the required shifts at your current grade. Moving from grade IV to the next rank also uses the skill, Lagos Rep and current-rank tenure targets below.
| Resident Doctor | Fitness 4 | 1 | 0 | 0 |
| Registrar | Fitness 5 | 2 | 3 | 0 |
| Consultant | Fitness 7 | 2 | 6 | 14 |
| Chief Medical Director | Fitness 9 | 3 | 10 | 21 |
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The final promotion includes a board interview; a failed attempt has a 3-day retry interval.
When and where do I work?
Work at General Hospital in Ikeja, Lagos. Your schedule is 08:00–18:00 on Monday, Tuesday, Wednesday, Friday, Saturday, giving 50 scheduled work hours across the week. Each completed shift takes 60 game minutes.
For a manual shift, open Work from 06:00 until before 22:00 on a scheduled day while you are in Lagos.
Which similar career should I compare?
For Fitness careers with 10-hour schedules, Medicine ranks 1 of 2 by top-rank base pay per scheduled work hour. Nursing in Lagos uses the same skill and shift length. You can start at Student Nurse and train Fitness for later promotions. Compare both ladders below before choosing your target.
| 1 | House Officer: ₦21,000 | Student Nurse: ₦9,100 | ₦105,000 | ₦45,500 |
| 2 | Resident Doctor: ₦31,000 | Staff Nurse: ₦18,000 | ₦155,000 | ₦90,000 |
| 3 | Registrar: ₦44,000 | Senior Nurse: ₦30,200 | ₦220,000 | ₦151,000 |
| 4 | Consultant: ₦60,000 | Matron: ₦45,500 | ₦300,000 | ₦227,500 |
| 5 | Chief Medical Director: ₦90,000 | Chief Nursing Officer: ₦75,000 | ₦450,000 | ₦375,000 |
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Choose Medicine in Lagos for the higher base pay at the top rank; choose Nursing in Lagos when its earlier skill target fits your next promotion.
| Nursing | Lagos | Start at Student Nurse | ₦75,000 | ₦375,000 |
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