🧑🏾‍⚕️ Medicine career

Start as a house officer at General Hospital and work up to running it. Ward rounds need stamina.

Checked against the live game: 2026-10-09Unofficial fan guide

At a glance

₦18,300first shift pay
₦90,000top shift pay
₦450,000per week at the top
10hshift length
CityLagos
Workplace🏥 General Hospital, Ikeja
Shift8 AM – 6 PM (Lagos time)
Working daysMon–Wed, Fri, Sat · 5 shifts a week
Promotion skill💪 Fitness
Needed to joinFitness 3

Career ladder & pay

Every level except the top has four grades. You join at House Officer I and the listed pay is what grade IV earns.

LevelTitleGrade IGrade IIGrade IIIGrade IVFitness needed
1House Officer₦18,300₦19,200₦20,100₦21,0003 to join
2Resident Doctor₦27,000₦28,300₦29,700₦31,0004
3Registrar₦38,300₦40,200₦42,100₦44,0005
4Consultant₦52,200₦54,800₦57,400₦60,0007
5Chief Medical Director₦90,000 (no grades)9

How to get promoted

  1. Work shifts well until your performance reaches 100%. Each time it does, you go up a grade (I → II → III → IV) with a small raise.
  2. At grade IV, hitting 100% again earns a promotion to the next title, if you meet that step's targets:
Promotion toFitnessShifts at gradeLagos RepDays in titleOther
Resident Doctor41——
Registrar523—
Consultant72614
Chief Medical Director931021Board interview
Train Fitness before you need it The skill target is the one most players get stuck on. Practise at home on your days off so you are ready when performance hits 100%. How to train Fitness →

UNILAG course: Doctor

The MBBS, housemanship, NYSC and your MDCN licence, then residency and the wards. The course costs ₦3,500. Finishing it gives you a certificate worth +15% work performance (so promotions come sooner), and Medicine will hire you one Fitness level lower.

  • What doctors do
  • Getting in: the MBBS
  • Inside medical school
  • Housemanship, NYSC and your licence
  • Residency and specialising

Similar jobs

Other careers promoted on Fitness, so the skill you build carries over:

FAQ

How much does Medicine pay in Lagos Life?
Medicine starts at ₦18,300 per shift as House Officer (grade I) and tops out at ₦90,000 per shift as Chief Medical Director. With 5 shifts a week that's ₦91,500 to ₦450,000 a week.
How do I get promoted in Medicine?
Reach 100% performance to move up a grade. After grade IV, each promotion also needs Fitness at the level shown in the ladder (4, 5, 7, 9), a set number of shifts, and, from level 3, Lagos Rep and days in the role. The top job needs a board interview.
What time is the Medicine shift?
8 AM – 6 PM on Mon–Wed, Fri, Sat, at General Hospital in Lagos. Times are real Lagos time (WAT).
What do I need to become a House Officer?
You need Fitness 3 to be hired. Finishing the Doctor course at UNILAG lowers that by one level.