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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 ...

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 ...

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 ...

ClubCorp

1st Assistant Superintendent

Upper Marlboro, MD · On-site

$60K - $65K/yr

Superintendent First Assistant at Oak Creek Golf Club | Upper Marlboro, MD | Invited Ready to join a dynamic company in the hospitality and service industry where people help drive the success of the ...

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

$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 ...

MedStar Health

Cert Surgical First Asst

Leonardtown, MD · On-site

$34.98 - $59.26/hr

About the Job General Summary of Position Serves as first or second assistant to the surgeon during all surgical operations with the exception of craniotomies open heart surgery epicardial pacemakers ...

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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 Jul 28, 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 are First Assistants?

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 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.

What's the easiest hospital job to get?

The easiest hospital job to get is often a patient transporter or hospital aide, which typically requires minimal formal education and on-the-job training. These roles usually have high turnover and may not require certifications, making them accessible entry-level positions in healthcare settings.

How much do first assistants make per hour?

First assistants typically earn between $15 and $25 per hour, depending on experience, location, and the industry they work in. They often work in fast-paced environments and may require skills in organization and communication.

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.

Where do surgical first assistants make the most money?

Surgical first assistants tend to earn the highest salaries in regions with a high cost of living and advanced healthcare facilities, such as metropolitan areas or states with strong medical industries. Factors like experience, certifications, and the complexity of surgeries also influence earning potential, with those working in specialized or high-demand surgical fields typically earning more.

What does a first assistant do?

A first assistant is a key member of a production team, often in film or theater, responsible for supporting the director or producer by managing schedules, coordinating communication, and assisting with logistical tasks. They may also handle administrative duties, oversee daily operations, and ensure the smooth flow of the project. Strong organizational skills and knowledge of production processes are essential for this role.
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 July 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, 2% Temporary, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $129,520 per year, or $62.3 per hour.
Physician Assistant - Surgical First Assistant

Physician Assistant - Surgical First Assistant

University of Maryland Medical System

Towson, MD

$54 - $81/hr

Full-time

Posted 23 days ago

Job description

Job Requirements

The Advanced Practice Provider (APP) - Surgical First Assist provides operative support in the operating room across multiple surgical specialties including general surgery, breast surgery, urology, and other surgical services as assigned. The APP functions as an integral member of the surgical team and collaborates closely with surgeons, anesthesiologists, nurses, and operating room staff to ensure safe, efficient, and high-quality surgical care.

The APP's primary responsibility is to function as a surgical first assistant during operative procedures, providing intraoperative technical assistance and supporting the surgeon in performing surgical interventions. Responsibilities include surgical exposure, retraction, hemostasis, tissue handling, suturing, wound closure, and other operative assistance duties consistent with training and clinical privileges.

This role is primarily based in the operating room and supports surgical case flow and operative efficiency. The APP may assist surgeons across a variety of surgical specialties depending on service needs and clinical competency.

The position includes participation in a call schedule covering weeknights and weekends to support urgent or emergent surgical cases requiring operative first assist coverage.

The APP practices within the scope of professional licensure, national certification, institutional credentialing, and delineation of privileges in accordance with applicable state regulations and hospital policies.


Work Experience

Education and Experience

  1. Graduate of an accredited Nurse Practitioner or Physician Assistant program.
  2. Current and unrestricted state licensure as a Nurse Practitioner or Physician Assistant.
  3. Current national certification through an approved certifying body (ANCC, AANP, or NCCPA).
  4. Registered Nurse First Assist (RNFA) certification is required for Nurse Practitioners.
  5. Current Basic Life Support (BLS) certification required; Advanced Cardiac Life Support (ACLS) preferred.
  6. Prior experience in surgical assisting or operative first assist roles strongly preferred.
  7. Experience assisting in general surgery, breast surgery, urology, or other surgical specialties preferred.

Knowledge, Skills and Abilities

  1. Knowledge of surgical anatomy, operative techniques, and perioperative patient care.
  2. Ability to function effectively as a surgical first assistant in a variety of operative procedures.
  3. Knowledge of sterile technique and operating room safety protocols.
  4. Ability to anticipate surgeon needs and assist with operative workflow.
  5. Strong technical skills related to suturing, wound closure, and intraoperative assistance.
  6. Ability to collaborate effectively with surgeons, anesthesia providers, and operating room staff.
  7. Ability to work efficiently in a fast-paced surgical environment with changing case schedules.
  8. Strong communication and teamwork skills within the surgical environment.
  9. Proficiency in electronic medical record documentation and adherence to regulatory and compliance standards.
  10. Commitment to patient safety, surgical excellence, and high-quality perioperative care.

Benefits
  • $54.00-$81.00 plus call pay
  • Review the 2026-2027 UMMS Benefits Guide.pdf

Employment Type: FULL_TIME

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