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First Assistant Jobs in Maryland (NOW HIRING)

Troon

1st Assistant Superintendent

Saint Michaels, MD

$80K/yr

Links at Perry Cabin is excited to announce the exceptional career opportunity of 1st Assistant Superintendent. Qualified candidates will thrive in a hospitality environment and be highly focused on ...

ClubCorp

1st Assistant Superintendent

Phoenix, MD · On-site

$60K - $65K/yr

Superintendent First Assistant at Eagle's Nest Country Club | Phoenix, MD | Invited Ready to join a dynamic company in the hospitality and service industry where people help drive the success of the ...

Troon Golf

1st Assistant Superintendent

Saint Michaels, MD · On-site

$80K - $90K/yr

Links at Perry Cabin is excited to announce the exceptional career opportunity of 1st Assistant Superintendent. Qualified candidates will thrive in a hospitality environment and be highly focused on ...

Invited Clubs

1st Assistant Superintendent

Phoenix, MD · On-site

Superintendent First Assistant at Eagle's Nest Country Club | Phoenix, MD | Invited Ready to join a dynamic company in the hospitality and service industry where people help drive the success of the ...

Invited

1st Assistant Superintendent

Phoenix, MD

Superintendent First Assistant at Eagle's Nest Country Club | Phoenix, MD | Invited Ready to join a dynamic company in the hospitality and service industry where people help drive the success of the ...

LanceSoft

Travel Surgical First Assistant

Clinton, MD · On-site

Surgical First Assistant * Discipline: Allied Health Professional * Start Date: ASAP * Duration: 13 weeks * 40 hours per week * Shift: 10 hours, days * Employment Type: Travel OR Tech First Assist ...

TidalHealth

Surgical Tech First Assist

Salisbury, MD · On-site

$28.26 - $43.81/hr

Surgical Technologist - First Assist Position Summary A Surgical Assistant, as defined by the American College of Surgeons, provides aid in exposure, hemostasis, closure and other intraoperative ...

TidalHealth

Surgical Tech First Assist

Salisbury, MD · On-site

$28.26 - $43.81/hr

Surgical Technologist - First Assist Position Summary A Surgical Assistant, as defined by the American College of Surgeons, provides aid in exposure, hemostasis, closure and other intraoperative ...

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All JobsFirst JobsFirst Assistant JobsFirst Assistant Jobs in Maryland

First Assistant information

See Maryland salary details

$31.5K

$129.5K

$185.9K

How much do first assistant jobs pay per year?

As of Aug 21, 2026, the average yearly pay for first assistant in Maryland is $129,520.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,300.00 and $175,200.00 per year, depending on experience, location, and employer.

What is a first assistant?

First Assistants, often referred to as First Assistant Directors (First ADs) in film and television production, are responsible for coordinating all production activities on set. They assist the director by managing the shooting schedule, ensuring that cast and crew are prepared, and facilitating communication between departments. Their role is essential in keeping the production running smoothly, safely, and on time. First Assistants also help enforce safety protocols and can be involved in overseeing rehearsals and blocking scenes. Overall, they play a key organizational and leadership role in any production.

What are the key skills and qualifications needed to thrive as a first assistant, and why are they important?

To thrive as a First Assistant, you need a comprehensive understanding of surgical procedures, aseptic techniques, and anatomy, usually backed by a relevant certification such as Certified Surgical First Assistant (CSFA) or equivalent clinical training. Familiarity with surgical instruments, operating room protocols, and electronic medical records is typically required. Strong attention to detail, effective communication, and the ability to work well under pressure are essential soft skills. These competencies ensure optimal surgical outcomes, enhance patient safety, and support seamless teamwork in the operating room.

What are some common challenges first assistants face when supporting high-level executives or teams?

First Assistants often juggle multiple priorities, such as managing complex calendars, responding to urgent requests, and coordinating logistics for meetings or events. One common challenge is maintaining clear communication and anticipating the needs of executives, which requires strong organizational skills and discretion. Additionally, First Assistants may need to adapt quickly to changing schedules or last-minute tasks, making flexibility and problem-solving essential. Building good relationships with both internal teams and external contacts also helps ensure smooth workflow and successful collaboration.

What is the difference between First Assistant vs Second Assistant?

AspectFirst AssistantSecond Assistant
CredentialsTypically requires medical or legal certifications, depending on industrySimilar credentials, often with less experience required
Work EnvironmentHigh-pressure settings, assisting lead professionalsSupport role, often in administrative or support settings
Employer & Industry UsageUsed in legal, medical, or film industries as a primary support roleSupporting role, often subordinate to First Assistant
Common Search & ComparisonOften compared for responsibilities and qualificationsLess frequently searched in comparison to First Assistant

The First Assistant typically holds more responsibilities, requires specific certifications, and works closely with lead professionals in high-pressure environments. The Second Assistant generally provides support and performs delegated tasks, often with less experience or certification requirements. Understanding these differences helps clarify career progression and role expectations within the industry.

How do I become a first assistant?

To become a first assistant, typically you need relevant experience in the field, strong communication and organizational skills, and often a background in the specific industry or environment. Some roles may require specific certifications or training, depending on the industry standards. Gaining practical experience through internships or entry-level positions can also be beneficial.

How much do first assistants make?

First assistants in Florida typically earn between $30,000 and $60,000 annually, depending on experience, location, and the industry they work in. They often require strong organizational skills and proficiency with office tools to perform their duties effectively.

What are the most commonly searched types of First jobs in Maryland?

The most popular types of First jobs in Maryland are:

What cities in Maryland are hiring for First Assistant jobs?

Cities in Maryland with the most First Assistant job openings:

First Assistant jobs near you
Infographic showing various First Assistant job openings in Maryland as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $129,520 per year, or $62.3 per hour.

First Assist

United Surgical Partners International Inc (USPI)

Bethesda, MD • On-site

$45 - $59.90/hr

Per diem

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

United Surgical Partners International rating

5.3

Company rating: 5.3 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

Advanced Surgery Center of Bethesda is seeking a PRN First Assist 

Job Summary

Assesses, plans, implements, and evaluates care for all age patients in the operating room. Provides care within nursing standards of practice and the policies of the Center. Makes decisions regarding direct patient care needs and communicates appropriate information to physicians, patients, family members, and personnel in other departments, as well as team members. May have additional responsibilities as designated by the Nurse Manager of the Operating Room and/or Director of Nursing, which include, but are not limited to, serving on committees, participating in quality improvement audits and projects.

Position Summary: 

Functions as a first assistant during surgical incision, excision, and repair of pathology and throughout the perioperative period on procedures for which privileges have been granted. Supports the mission, vision, and values of the organization.

·       Ability to prepare reports and keep records.

·       Familiarity with medical terminology and departmental supply items is required

·       Ability to quickly adapt to the changing condition of the patient when needed

·       Must be an excellent team player and have the ability to communicate with staff, patients and physicians

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and health care systems to provide first class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

Benefits

USPI offers the following benefits, subject to employment status:

·       Medical, dental, vision, disability, and life insurance

·       Paid time off (vacation & sick leave)

·       401k retirement plan

·       Paid holidays

·       Health savings accounts, healthcare & dependent flexible spending accounts

·       Employee Assistance Program, Employee discount program

·       Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, AD&D, auto & home insurance.

Pay Range- Min: $45.00 to Max: $59.90

(Wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience.)


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