The Sims 4 Get to Work: Doctor

Treating, Diagnosing Patients & Career Rewards

A Doctor in The Sims 4 Get to Work
A Doctor treats a patient in The Sims 4 Get to Work

The Sims 4's Doctor Career comes via the Get to Work Expansion Pack and is one of the most challenging Careers I've ever covered. In this Career, you will start with janitorial duties, interruption of actual Doctors with socials, and patient relations and proceed to being able to run your own tests and diagnose patients. As you go forward, the Career gets more defined although menial tasks will still pop up as objectives. You will eventually be able to perform surgeries and deliver Sim Babies as you advance, while your Sim will also have a clearer picture of what is wrong with the patient as they progress. The Doctor's Career level determines success rate with many interactions. Try to take care of patients as much as possible, and do not misdiagnose them, for fear of losing job performance! This guide should help you with those things, as I have a list of symptoms of each illness, while I'll also share the Doctor's career schedule and rewards.

How to: Doctor Career Cheats
Press Control + Shift + C then type testingcheats on and press enter. You can now get promotions with careers.promote doctor - you can also see all Career Cheats or visit a full list of Cheats in The Sims 4.

Sim Hospital in The Sims 4 Get to Work
The Hospital in Get to Work

The Ideal Mood for this Career is Focused, though it only helps to raise your Sim's work performance bar and does not factor into diagnosing patients. This is best done by using 'Ponder Moves' on a chess table before work or using Browse Simpedia at a computer. While at the hospital, you can use the computer to 'Research Health Reports on Medical Journal' and remain Focused (+2). This helps a lot. You can also hang Mathematical Diagrams (via Logic with an Easel) in the area where Patients are treated. For those who wonder, Logic does not factor into diagnosing at all. Only the symptoms narrowing via Doctor job rank and your own observations.

A misdiagnosis can cause a hit to career performance for Doctors
A mis-diagnosis is a bad thing for a Doctor. You'll take a performance hit when you're wrong about a patient's ailments.

General Advice for Doctors
At level 1, you won't have much to do regarding patients. Try to do things that are nearby in order to raise your performance. You have two days to get promoted, so it should be easy. Don't stay late, because two days is plenty of time to get your first promotion. At level 2, when your objectives change to feature more of treating patients, look for those that have already been diagnosed. This is required for the promotion. They should have a flashing red over them. You can administer the medication, even if you're not quite ready to deliver a full diagnosis. Your Career Performance will go up as you treat patients, though you may have a harder time finishing objectives within the 10-12 hour shift if you do too much of this. You get the little bumps from treating patients, and a big bonus at the end of the day based on the main bar at top left.

Talking to Co-Workers is a big part of the early levels
The first couple levels, you'll have to talk to co-workers a lot. Thankfully, it will get you through to more interesting objectives.

At level 3, you should see more medical tasks - lots of 'Examine Patient' interactions. You can then Transfer Case to a Doctor after you have done enough tests. Let new objectives come in as you clear them, so that you don't waste time. You may be called to do temperature, then check eyes. Pause to be more time-efficient, as objectives take a moment to come in. When you need to transfer a case, get a Doctor in conversation then use the 'Transfer' interaction to complete this objective. You may need to perform more tests to transfer the case. Again, look for patients with red flashes to deliver treatment. They've already been diagnosed and are ready for medicine.

Chemical Analyzer
The Chemical Analyzer is used to test patients' swab samples for diseases

When you do not have a patient to analyze, look to the front desk. You can admit patients to the beds yourself, and will often be forced to. Calibrating the X-ray machine gives you a Focused moodlet. You'll sometimes need to do this in order to get a better X-ray of a patient - Calibrate then 'Refer to X-Ray Scan' on the patient, later found under the Medical Referral menu. Know that the X-ray machine can be upgraded to feature faster scanning and become unbreakable, so long as your Sim has the Handiness Skill. At level 8, you can also upgrade the Analysis machine to make it unbreakable.

The Treadmill test is used to diagnose illnesses
The treadmill test may result in narrowing down your diagnosis, but isn't really effective use of time until higher levels in the Career.

Mid Levels
Levels 4-5 can be a little tough, because you're not quite able to diagnose a lot of patients and will fail things like treadmill tests. Try to avoid those until later, while focusing on completing objectives to raise your performance. Try to get the two diagnoses down, but do not fail on them or you may end up losing huge chunks of performance - like a whole day's worth. Make sure you're right by looking at our symptoms list. It may not be as hard for you as it was for me if you can use the process of elimination along with the 'Diagnosing Patients' section below.

A Sim patient with burning belly
This Sim patient has burning belly, a nasty stomach illness that requires surgery

It gets a bit harder to advance from 5-7. Once you need three surgeries, you already have a decent job as a GP, but it will take time to need to do three surgeries. Sims may come in collapsed and need emergency surgery. Just keep at it, and some Sims will eventually need them based on your diagnosis. It may take 2-3 days of work, for there are only the emergencies and three rare types of illness that require surgery. It's easier after that, but you still do some waiting. If you like, you can misdiagnose Sims with Triple Threat or Burnin' Belly, which both require surgery, but that would be unethical!

You will get the ability to boss your coworkers around, but this won't do much, unlike in the Scientist Career where coworkers get promoted and can even be ordered to gather collectibles for you.

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Diagnosing patients requires you to assess their symptoms
Diagnosing patients requires you to narrow down the symptoms and use some visual cues to help you figure out what's wrong

Diagnosing Patients
Remember, you get only ONE chance to diagnose a patient, and when you come in the next day that patient likely has an entirely different illness. It's random. Logic does not matter for this, nor does being Focused.

The more tests you run, the further you can narrow down a patient's diagnosis. But you will hit a wall and sometimes be left with 2-3 options. Try to do those tests that are tied to objectives, but remember that treating patients also boosts your performance. When possible, do more tests to clear objectives even if you know what ails a Sim. It is more important to do the successful treatments than the objectives, so long as you get silver or up.

A child sim patient in TS4
A child Sim has diagnostic tests run. This will help to narrow down the symptoms to a specific sickness

The difficulty in this Career comes when you do not know exactly what is wrong with a Sim and can't get it narrowed down further than two or three illnesses. You should be sure to play on speed 1 and watch the patient. Do a test, then back off them and do something with another patient sometimes. This can let you observe the first patient's idle animations. Also, once all tests are done you can initiate regular conversations with them, then back off again. This sometimes gets the symptom animations to trigger.

After you've analyzed a swab, you may later take another, which sometimes will yield a direct result. Here are guidelines for assessing a patient's symptoms, some of which were provided by Dellena on our Forum. We also had extensive help with this list from officialghosts, to whom I owe a lot of thanks for their detail post on the matter, as well as images of symptoms to help you all!. Amaiyasai also contributed information on missing illnesses. Thanks to everyone involved, this guide is much better.

This is by a fairly comprehensive list, and should help you to rule out illnesses. See below the list for images of some symptoms, as well as a breakdown of symptoms and what diseases they could be:

A Sim with a rash
Different rashes come with different illnesses. At the least you know they're definitely sick.

Diseases and Their Symptoms





  • Rashes - These may present with any number of illnesses, so don't think right away it's itchy plumbob. They are meant to be indicators a patient is really sick, so you can rule out 'Not Sick'. Some rashes only present with certain illnesses. There are three types: swirly, orange and green spots, and tiger stripes.
  • Sweaty Shivers - The patient may itch.
  • Bloaty Head - look for the patient appearing to have a headache, and sometimes steam coming out of their ears. It is possible they can have orange and green spots, but primarily look for the steam.
  • Starry Eyes - Gets dizzy and shows stars over their heads. They may also swat at invisible objects in front of them. If you see them swatting, it is surely starry eyes. They may also have a swirly rash.
  • Llama Flu - The patient may shiver (fever), have a cloud of gas around them, cough, and sneeze. This sometimes presents with orange and green spots-type rash.
  • Gas and Giggles - The patient will fart and giggle at random times, and sometimes presents with a tiger-stripe rash. Watch their idle animations for lots of laughing. Laughing itself is not necessarily a symptom, but they may appear to do so uncontrollably.
  • Triple Threat - Dizziness, coughing. but lack of swiping as with Starry Eyes, and lack of fever as with Llama Flu. Requires surgery.
  • Itchy Plumbob - May present with a rash (tiger stripes or orange and green spots) and the patient may itch a lot. You can tell this apart from Sweaty Shivers by the presence of the rash.
  • Burnin' Belly - Visible stomach pain, maybe fever. Requires surgery and is a rare illness - perhaps the most rare of the diseases Doctors can diagnose.

The following set of images are courtesy of officialghosts on our Forum. Use this to help you narrow down illnesses, as I've used their list to help connect each symptom to a disease. If they have one of these symptoms, look up the illnesses above to see if they have other symptoms! You got this. The process of elimination is your friend.

Swirl Rash
Swirl Rash: it could be starry eyes or triple threat
Tiger Stripe Rash
Tiger Stripe Rash: could be gas and giggles or itchy plumbob
Orange and Green Spots Rash: could be sweaty shivers, itchy plumbob, or llama flu
Dizziness: could be starry eyes or triple threat
Fever: could be burnin' belly or llama flu
Headache: could be bloaty head
Stomach Ache: could be burnin' belly or gas and giggles
Swiping: a telltale sign of starry eyes is the patient swiping, looking like they're trying to bat away a fly.
Cough/Sneeze (no image): could be llama flu or triple threat
Smoke out Ears (no image): you'll know when you see it - it's bloaty head.
Itchiness (no image): could be sweaty shivers or itchy plumbob

Treating Patients
Diagnose an illness by selecting it when you're sure, and the treat option will come up. You'll know right after administering treatment whether it was a success or failure. Find this option on the social menu after you diagnose. Surgery only comes up with Triple Threat, Burnin' Belly, and when you need to deliver a baby at level 8 and up.

House Call
House Calls give you Career performance, but aren't necessarily the best use of your time

House Calls
Sometimes, your Doctor will get put on a house call to treat one or more patients. Click the front desk to do this. If you can't arrive within a couple of hours, they will seek help elsewhere. I skipped these a lot of the time, because they came up when I needed surgeries (later learning that you can sometimes refer a Sim to surgery while on a House Call). You can earn plenty of performance just doing duties at the hospital. However, it is time-efficient. You get a nice chunk of the day's performance for delivering the medicines.

The X-Ray machine can be upgraded to be faster
The X-ray machine may be upgraded to be faster and auto-calibrate with Handiness. You can also make it unbreakable.

Treadmill and X-Ray tests
Find these under the Medical Referral social menu. These can help to narrow down illnesses, but will have a high failure rate until you're level 7+ in the Career. Until then, try to avoid them or else make sure that your Sim is Focused. A visit to the computer to get a moodlet beforehand can really help with this. Sometimes, you DO have to run the test twice, as the game indicates. They can be super helpful once your Sim is qualified to analyze the results of both tests.

Delivering a Sim Baby in The Sims 4
A Doctor delivers a Sim Baby in The Sims 4 Get to Work

Delivering a Baby
This is a work emergency, which will only come up once your Doctor is level 8 and above. It's required to reach level 9. You've simply got to wait this out, and be sure to prioritize this over other patients.

Surgery in The Sims 4
Surgery is required for triple threat, burnin' belly, and delivery of Sim babies

Understaffed Day
There are sometimes days when your Doctor will have to do things like mop puddles, even as a surgeon. These occur on understaffed day, and may be annoying. You can tell if this is a result of a special even by mousing over the top-left workday meter.

Common Objectives
Here are some how-to's and efficiency tips for common tasks:

  • Make Bed - Sometimes there isn't a bed to make. Do other objectives
  • Mop Puddle - look about the hospital rooms for puddles. Don't let the Sim wander about cleaning unless there are more objectives
  • Chat with Co-workers - You can use the same co-worker multiple times to fulfill this
  • Transfer Patient Case - Early on, you will need to do this when you're not qualified to diagnose the patient yourself. I was unable to do it directly, possibly because of a bug. What you can do to get this to go through is get a Doctor (lab coat) chatting with you, then transfer the case.
  • Work Emergency - Record Emergency Analysis Data - Click the front desk, then examine the samples and input data into a computer.

Doctor Career Levels

Doctor career unlocks and uniform
Doctor Career Unlocks and Uniform at level 10, Chief of Staff

Doctors at level 8 get the Sickness Resistant Trait, which will reduce or eliminate the chance they get ill. You will eventually learn to tell the gender of an unborn baby by talking to the mother (level 6) or father (assuming he's impregnated by an Alien!), and may also give medical advice to Sims.

RankJobWagesSchedule$/DayDaily Task & Promotion RequirementsReward for Promotion
1Medical Intern$18/hourFri-Tue 7AM-3PM$144/dayAttend an active work day at the Doctor Career venueN/A
2Orderly$23/hourSat-Wed 7AM-3PM$184/dayTreat Patients (2)$192, Doctor Xavier Ray's Display, Not So Blind Eye Chart, New Clothes
3Medical Assistant$35/hourSun-Thu 8AM-4PM$280/dayTreat Patients (3)$256, X-Ray Machines are now available for use at work to scan and exam patients, You can now Give Medical Advice, You can now Give Bad Medical Advice with Level 3 Mischief
4Medical Technologist$49/hourMon-Fri 9AM-5PM$392/daySuccessfully Diagnose and Treat a Patient$312, Defeat the Darkness Surgical Light, Medical Treadmills can now be used further examine patients' conditions, New Clothes
5Assistant Nurse$68/hourTue-Wed, Fri, Sun 6AM-4PM$680/daySuccessfully Diagnose and Treat Patients (2)$384, Restless Thankless Medical Stool, Surgery Tables at work can now be used to treat the most severe patient conditions, You can now Check Hotness
6R.N.$95/hourWed-Thu, Sat, Mon 7AM-5PM$950/daySuccessfully Diagnose and Treat Patients (3)$576, Doctor of Medicine Diploma, Can Now Determine Baby Gender on Pregnant Sims
7Doctor - General Practitioner$135/hourThu-Fri, Sun, Tue 8AM-6PM$1350/dayPerform Surgery on Patients (3)$816, Seat of Health, New Clothes
8Medical Specialist$195/hourSun-Mon, Wed, Fri 9AM-7PM$1950/dayDeliver a Baby (1)$1136, The Diligent Doctor's Desk, Sickness Resistance Trait
9Surgeon$245/hourWed-Thu, Sat, Mon 9AM-7PM$2450/daySuccessfully Diagnose and Treat Patients (5)$1496, Skelly Sim
10Chief of Staff$280/hourMon-Tue, Thu-Fri 9AM-7PM$2800/dayGo to Work$1720, Also unlocks styled room "General Hospital" that costs $7,685

Other Get to Work Guides

Expansion Guide
Retail Guide
Retail: Customers and Sales
Retail: Employees and Managing
Retail Perks in Get to Work
Aliens
Baking Skill Guide
Photography Skill Guide
Detective Career
Doctor Career, Diseases and Diagnosing Patients
Scientist Career
Planet Sixam (Alien World)



Sims 4 Career Guides
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Comments (71)

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Regular
Sarahsays...
No one ever needs surgeries! I am stuck on level 7 of the career Sad
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Senior
Playalotsays...
You can perform surgery on sims that do not need it in order to clear these requirements. Your performance will take a hit but you can make that up by working hard once the 3 surgeries have been done. Smile
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Regular
Katiesays...
How do I go to work tho? Ive got the get to work expansion. The first time I went to work the game gave me the option but the second time I was running late so she just went and I had no idea how to get to the hospital she went to. How do I follow my sin to their job?
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Senior
Playalotsays...
When it is their work time a window will pop up in-game and give you the option of following your sim to work or not. To actively play your sim choose the 'follow to work' option. 'Send alone' will basically turn your active career into a rabbit hole job for that day.
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Regular
Sashasays...
Turns out the Sweaty Shivers also have fever in the symptoms list)
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Admin
Playalotsays...
Thanks, I'll check that out. Smile
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Regular
Sashasays...
Dizziness is also a Triple Threat symptom.
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New
Tabithasays...
After you reach level 10 on the doctor career is there any way you can open your own doctor office?
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Admin
Playalotsays...
No, not in the vanilla game. You could decorate a room to look like a doctors waiting room etc but it would only be for 'looks' as it won't actually be functional. I know there have been mod requests for this type of thing but no mods have been created that I know about. Try a google search though, you might find something I couldn't. Smile
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New
linesays...
why do i always come home with $28 only and it keeps saying i had a bad day but i did everything it wanted me to,
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Admin
Playalotsays...
If you are completing the daily at work tasks then it sounds like a game-glitch. Quit your game altogether and restart your PC. After that Delete your cache files and Repair Your Game Hopefully this should sort out the problem. You can always post in our Get To Work board on the forum too.
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New
TheRealChosen1says...
I just wanted to say THANK YOU for this guide. It has done wonders for my medical career!!!
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Regular
Kawaii-yanderesays...
Carl in the delivering a baby part instead of come you put ocme
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Admin
Playalotsays...
Thank you for picking that up! Smile
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New
Stephaniesays...
I just want to let everyone know that when you analyze a patient sample and get back the result of a serious infection, it doesn't automatically mean that the patient has an illness. I just had a patient's swab come back saying serious infection, and there were only 2 diagnoses left, bloaty head and no illness. I figured since the swab said there was an illness that it was bloaty head, even though the patient showed no symptoms. Anyways, I was wrong, and I just wanted to warn anyone that might read this before it happens to them and they lose a lot of work performance :/
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New
KittycatYAYsays...
Yeah,it usually says that the sim has a serious sickness,but it's not true.
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New
Deesays...
So I have this bug where whenever I am examining a patient (with the exception of taking a sample), the patient teleports out of bed to the side, and I get no progress in diagnosing... any help?
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Admin
Playalotsays...
Quit out of your game and delete the localthumbcache.package file from your TheSims4 folder. Often this is enough to sort out those kind of glitches. If it is still happening look at the space around the patient beds... did you add anything to these areas? Focused pictures on the wall for example? If you did add anything delete it all and try again. Also remember that CC and Mods can have some pretty strange effects on your game so if you are using any take them all out before trying anything else. If this doesn't happen with all your CC and mods removed then you know that is the problem.
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New
mazsays...
That's a bug with the most recent patch. From what I've seen, we just have to wait for EA to fix it.
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Admin
Playalotsays...
Yes it is, thanks for posting that, I had meant to come back and post the EA Bug report link... but had forgotten!

Doctors Resetting bug Report thread
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New
Trialmansays...
I'm a bit worried about the inevitable baby delivery task. What if I end up having to deliver a baby in a family that I didn't want to have a baby?
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Admin
Playalotsays...
The pregnant sim is just spawned in and tbh disappears after the delivery. I've never yet seen that particular NPC in my world afterwards. If I am wrong, and just have never noticed the sim afterwards you can always go into Household Management and once the baby has aged up, delete the kid. (Pixels people!)
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New
Niketa Kilpatricksays...
Thankyou so much for your guide on the docs career. Its been so helpful and im starting to getting to get the hang of the career now. Smile
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New
Minasays...
I've noticed that when I get my doctor to readmit a patient to the bed, he'll often try to readmit them to a already occupied bed. This is annoying and frustrating because you cannot progress with that patient as they will just stand there. However if you walk away, to do something else, the patient will go to the nearest available bed.
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New
KeAisays...
That happens to me too! Seriously I feel like this career has potential to function much more smoothly in general, but, y'know, this is EA after all...
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New
KeAisays...
This job is so hard! There might as well be no one else working at the hospital - my sim is the only one that does anything. In a 10 hour work day I have time to properly diagnose and treat three Sims, tops, and heaps and heaps of them leave from waiting for too long. The sick beds already have people waiting there when I start the work day so I just work with those patients and I don't even get through them all :/ Seriously it frustrates me because I feel like I'm doing something wrong. My Sim's job performance isn't suffering and they are currently level 9, but it still feels wrong to me lol, wish I could do something about this. There should be a mod so that your coworkers actually do work too....
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New
radosneysays...
I can't figure out how to get to the hospital, outside of working hours, so I can edit/build the hospital.
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Admin
Playalotsays...
In normal game play you can not access the Get To Work active career lots unless you have a sim working in that career. So take your sim there by going to work and then use the cheats bb.enablefreebuild to help you access the build mode.
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New
donifiedsays...
I'm on level 9 and the deliver baby task comes up sometimes while I am at work but I never see a pregnant sim.
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Admin
Playalotsays...
It can take some time. In my game it took 3 sim weeks for a pregnant sim to finally turn up. I was really starting to give up! When the pregnant sim does arrive, drop all other tasks and prioritize her/him as it could be some time before another pregnant sim arrives if you miss treating/delivering them. Smile
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New
svdizonsays...
its been 4 sims week now and still stuck in level 8. no pregnant sims comes in the hospital. the deliver baby task only appeared 3 times so far, and no pregnant sims ever showed up :( im so tempted to use cheats now
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Admin
Playalotsays...
I would, 4 sims weeks is seriously too long to wait on one random career task, especially as the player has no control over it happening or not!

There is an open bug report that describes a bug like this that is effecting some games. If you think that is what is happening in your game you could add a 'me too'.
Sims 4 Bug Report Doctor Career
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New
Elliesays...
This guide really helped thanks. However I've encountered a problem where it says by the performance bar that a sim has come in to have a baby and I wait and literally no sim came in. Is that supposed to happen or?
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Admin
Playalotsays...
This is a known bug with an open bug report. It would be good if you could follow the link and add a 'Me Too'. At this point all you can do is use the cheat to complete this level of your sims career and move on to the next promotions requirements.
testingcheats on then careers.promote doctor Link to cheats guide.
EA Bug Reprt - No Pregnant Sim in Doctor Career
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New
ShadySmithsays...
I dunno if anyone else is having this problem, but the AI pathing makes it take forever to seat patients. Also, lab analysis is useless. It ALWAYS says there an infectious illness, even when "No Illness" is the correct diagnosis.
Gravatar
Admin
Playalotsays...
Sad Yes, unfortunately the doctor career has always had issues with directing patients to beds. It can be frustratingly slow. Mainly due to the underlying philosophy of this career being a time-management mini-game. Personally I do not like this aspect of the career at all.
With the Lab analysis try having your sim being focused before doing it. That might help you get varied responses.
Ideas for Getting sims focused
Gravatar
Regular
Adriannasays...
Has anyone else had a problem with their doctor sim being disliked? My doctor doesn't have any mean or negative traits, he's a clone of my scientist. For some reason everywhere I go, sims hate him. Constantly throughout the career he's getting lower and lower social status with people. Is that normal or some sort of glitch?
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Admin
Playalotsays...
I haven't experienced this sorry. Perhaps it is a function of the sim being a clone?
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New
Esmysays...
maybe add joint pain as a symptom? Sims with llama flu seem to have pain and they stretch a lot...
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New
Elliesays...
My sim has found the patient definitely has an infectious illness, but he's not displaying any idle symptoms. When trying to diagnose, it's either bloaty head or no illness. Apparently he had no illness though... Mad
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Admin
Playalotsays...
The game is 'programed' for the diagnosis to fail at times. Sad It is just the way it works. The higher the levels of the career your sim is at the less this will happen.
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New
Elliesays...
Thanks! My sim has the connections trait, and started at level 4, and has no idea what she's doing! The guide really helps though. Thanks again!!
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Regular
Samanthasays...
I have a problem. I am stuck at level 8 of this career. I cannot deliver a baby. It says there is a pregnant sim on the lot and gives me a notification but there is literally NO ONE there. Anywhere, in or outside the hospital. I need this to get promoted (and I don't want to cheat). Why is this happening? How can I fix it? Sad
Gravatar
Admin
Playalotsays...
This is a known bug with an open bug report. It would be good if you could follow the link and add a 'Me Too'. At this point all you can do is use the cheat to complete this level of your sims career and move on to the next promotions requirements.
testingcheats on then careers.promote doctor Link To Cheats Guide
EA Bug Report - No Pregnant Sim in Doctor Career
Gravatar
New
KittycatYAYsays...
Can you go to hospital if your Sim is sick( has symptoms like headacke)?
Gravatar
Admin
Playalotsays...
No. Only sims who are playing in the active Doctor career have access to the lot. Or pregnant sims as they have the option to have the baby at the hospital.


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