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First Assistant Jobs in Maryland (NOW HIRING)

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 ...

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 ...

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 ...

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 ...

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 ...

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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Showing results 1-20

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 29, 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:

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.

Surgical First Assistant - Surgical First Assistant OR

Salisbury, MD • On-site


Carilion Roanoke Memorial Hospital
Hospitals • 10K+ employees

6.9

Company rating: 6.9 out of 10

Based on 216 frontline employees who took The Breakroom Quiz

460th of 895 rated healthcare providers

People enjoy working here

Recommended by students

Recommended by parents


Other

Medical, Dental

Posted 6 days ago


Job description

Details
Client Name
Peninsula Regional Medical Center
Job Type
Permanent
Offering
Allied
Profession
Surgical First Assistant
Specialty
Surgical First Assistant OR
Job ID
37815042
Job Title
Surgical First Assistant - Surgical First Assistant OR
Shift Details
Shift
3x12 Days
Scheduled Hours
36
Job Order Details
Start Date
03/16/2026
Job Description
Weekly rate listed is an estimate and can vary based on the applicant's home location, VMS Fees, and onboarding costs.
Our Client is currently seeking Surgical First Assistant OR for positions in Salisbury, Maryland for a 3x12 Days, 07:00:00-19:00:00, 12.00-3 shift.
The ideal candidate will possess a current Certification in Maryland. This is a Surgical First Assistant position in the OR.
Requirements
• Current Resume
• Certification as required by state
• 2 current clinical references
• Competitive pay rates
• Health/Dental Benefit package
• Refer a friend and earn extra cash!
Client Details
Address
Peninsula Regional Medical Center
City
Salisbury
State
MD
Zip Code
21801

Carilion Clinic logo

About Carilion Clinic

Sourced by ZipRecruiter

This is Carilion Clinic ... An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious. Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute. Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Roanoke, VA, US

Year founded

1899


What Carilion Clinic employees say

Pay

Benefits

Hours and flexibility

Workplace

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