Hey, Tommy, first of all welcome to the forums. Second, your parents were smart and picked the best possible name for any boy (although I haven't been called Tommy since I was probably 12). Now to your dilemma...this is interesting. I've played numerous Medical career Sims and know exactly what you're taking about. I don't think there's a solution unfortunately to get that metric really high. But, I've never had a problem getting regular promotions especially with choosing the Work Hard tone and having the Multi-Tasker reward, Ambitious Sims also get promoted quicker. So, the bottom line is I don't think it should matter. I don't understand why the metric doesn't turn solid green like a kid's homework once the homework is done.