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First Assistant Jobs in New York (NOW HIRING)

WMCHealth

Physician Assistant--Ophthalmology

New York, NY

$109K - $148K/yr

  • Retirement

Function as a first assist in the OR for ophthalmologic procedures * Collaborate with surgeons, nurses, anesthesia, and consulting services. * Support care coordination, patient flow, and ...

Lyle Health

Physician Assistant - Orthopedics

Manhattan, NY · On-site

$110K - $149K/yr

  • Medical

  • PTO

Chart reviews First assist in the OR Provide medical treatment to pre/post op patients Develop and implement patient management plans Educate patients on overall wellness and health maintenance ...

Phaxis - Healthcare

Orthopedic Physician Assistant

Flushing, NY · On-site

$90 - $100/hr

  • Medical

  • Dental

  • Vision

First assist in orthopedic surgery * Perform joint aspirations, injections, and diagnostic ultrasounds * Evaluate and treat orthopedic patients * Apply casts and splints * Order and interpret imaging ...

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Showing results 41-60

All JobsFirst JobsFirst Assistant JobsFirst Assistant Jobs in New York

First Assistant information

See New York salary details

$35.6K

$146K

$209.5K

How much do first assistant jobs pay per year?

As of Aug 13, 2026, the average yearly pay for first assistant in New York is $146,000.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,300.00 and $197,500.00 per year, depending on experience, location, and employer.

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 role. Some positions may require specific certifications or training, and gaining experience through entry-level roles can help advance to a first assistant position.

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 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 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 are the most commonly searched types of First jobs in New York?

The most popular types of First jobs in New York are:

What cities in New York are hiring for First Assistant jobs?

Cities in New York with the most First Assistant job openings:

First Assistant jobs near you
Infographic showing various First Assistant job openings in New York as of August 2026, with employment types broken down into 3% As Needed, 72% Full Time, 19% Part Time, 3% Temporary, and 3% Contract. Highlights an 100% In-person job distribution, with an average salary of $146,000 per year, or $70.2 per hour.

Physician Assistant Cardiothoracic Surgery

i4 Search Group

Rockville Centre, NY • On-site

$158K - $190K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New

Job description

Job description:


We are seeking an experienced Cardio Thoracic Physician Assistant to join a highly skilled surgical team supporting a busy open-heart surgery program. This role is ideal for a PA with recent cardiothoracic surgery experience who is passionate about delivering exceptional patient care across the perioperative continuum.

The Physician Assistant will work collaboratively with cardiothoracic surgeons and the multidisciplinary care team to provide comprehensive inpatient and surgical care. Responsibilities include first assisting in the operating room, managing pre- and post-operative patients, performing clinical assessments, ordering and interpreting diagnostic tests, prescribing medications, and participating in critical decision-making to optimize patient outcomes.

This position also provides opportunities to serve as a clinical leader and mentor to other Physician Assistants while supporting quality patient care and departmental excellence.


Key Responsibilities:

  • First assist in cardiothoracic surgical procedures, including open-heart surgeries.
  • Perform comprehensive patient evaluations, diagnoses, and treatment planning.
  • Manage pre-operative, intraoperative, and post-operative patient care.
  • Order, interpret, and evaluate laboratory tests, diagnostic studies, and imaging.
  • Prescribe medications and therapeutic interventions within scope of practice.
  • Perform procedures and therapeutic interventions as appropriate.
  • Collaborate closely with surgeons, physicians, nurses, and the multidisciplinary care team.
  • Maintain accurate and timely documentation in the electronic medical record.
  • Provide clinical leadership, mentorship, and support to fellow Physician Assistants.
  • Participate in quality improvement initiatives and maintain compliance with regulatory and organizational standards.


Qualifications

Education:

  • Master's degree from an accredited Physician Assistant program preferred.
  • Graduation from an accredited Physician Assistant program required.


Experience:

  • Recent operating room experience required.
  • Recent experience as a Cardiothoracic Surgery First Assist required.
  • Vessel harvesting experience preferred.
  • Previous Epic EMR experience preferred.
  • Strong clinical judgment and critical thinking skills.
  • Excellent communication and interpersonal skills.
  • Proficiency with Microsoft Office applications.


Licensure & Certifications:

  • Current New York State Physician Assistant license and registration.
  • Current NCCPA certification.
  • Current unrestricted DEA registration.
  • Current BLS and ACLS certifications.
  • Current NYS Infection Control Certification.