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First Assistant Jobs in Maryland (NOW HIRING)

MedStar Health

Neurology Physician Assistant

Rosedale, MD · On-site

$115K - $189K/yr

First assist in the OR for spine and cranial procedures * Assist in the Neurovascular IR suite - thrombectomies, diagnostic and interventional spinal and cerebral angiograms * Perform bedside ...

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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.

Surgical Tech First Assist - Peninsula - DH

TidalHealth Peninsula Regional - FE

Salisbury, MD • On-site

Other

Medical, Retirement, PTO

Posted yesterday

New

Job description

Details
Client Name
TidalHealth Peninsula Regional - FE
Job Type
Permanent
Offering
Allied
Profession
Surgical First Assist
Specialty
CSFA
Job ID
35403354
Job Title
Surgical Tech First Assist - Peninsula - DH
Shift Details
Shift
Day - 8x5 - 08AM
Scheduled Hours
40
Job Order Details
Start Date
08/31/2026
Duration
0
Job Description
Job Title: Surgical Technologist - First Assist
Profession: Surgical Tech
Specialty: OR
Duration: Full Time
Shift: Days
Hours per Shift: 36 hours per week
Experience: Minimum of two years scrub experience in the OR
License: Certified Surgical Technician preferred
Certifications: Current American Heart CPR, STFA certification required within a reasonable time
Must-Have: Graduate of a certified surgical tech program or an Operating Room Technician with documented experience
Description:
Looking for a rewarding place to work?
Choose this opportunity to join a team recognized among the top hospitals.
The Surgical First Assistant provides aid during surgical procedures to assist the surgeon in ensuring optimal results for patients.
This role includes intraoperative duties as well as preoperative and postoperative responsibilities.
The surgical assistant functions under the direction and supervision of the surgeon and must adhere to all hospital policies and regulations.
The Surgical First Assistant will not take on any other role during procedures and will be listed as the first assistant on the perioperative record.
Direct supervision from the surgeon means they remain scrubbed within the surgical field.
Indirect supervision means the surgeon stays in the surgical suite but may not be scrubbed or within the immediate surgical field.
Competencies for these skills will be evaluated annually with inputs from the surgeon as part of performance evaluations.
Requirements include completion of a formal Surgical Assistant Certificate or Degree Program approved by relevant authorities.
Hands-on training must encompass basic and advanced suturing, identifying anatomical structures, and techniques related to hemostasis and exposure.
Two letters of recommendation from surgeons who have recently observed the assistant's professional behavior are necessary.
Continuous education is encouraged to maintain current knowledge and skills.
Team members working full-time in designated hour requirements are eligible for various benefits including medical and retirement plans, tuition assistance, and paid time off.
Client Details
Address
100 E Carroll St
City
Salisbury
State
MD
Zip Code
21801
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