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First Assistant Jobs in Baltimore, MD (NOW HIRING)

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 · 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 ...

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 ...

MedStar Health

Cardiology Physician Assistant

Columbia, MD · On-site

$115K - $190K/yr

Cardiac Surgery First Assist at MedStar Washington Hospital Center (Minimum of 2 years of experience as First Assist) (5 yr experience 160031) Why MedStar Health? * Regional leader in cardiovascular ...

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All JobsFirst JobsFirst Assistant JobsFirst Assistant Jobs in Baltimore, MD

First Assistant information

See Baltimore, MD salary details

$32.3K

$132.6K

$190.3K

How much do first assistant jobs pay per year?

As of Aug 21, 2026, the average yearly pay for first assistant in Baltimore, MD is $132,602.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,200.00 and $179,400.00 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 Baltimore, MD?

The most popular types of First jobs in Baltimore, MD are:

What cities near Baltimore, MD are hiring for First Assistant jobs?

Cities near Baltimore, MD with the most First Assistant job openings:

First Assistant jobs near you
Infographic showing various First Assistant job openings in Baltimore, MD as of August 2026, with employment types broken down into 11% As Needed, 78% Full Time, and 11% Part Time. Highlights an 100% In-person job distribution, with an average salary of $132,602 per year, or $63.8 per hour.

Senior Cardiac Surgery First Assist: Registered Nurse First Assistant (RNFA)

University of Maryland Medical System

Baltimore, MD • On-site

$607K/yr

Full-time

Re-posted 25 days ago

Job description

Job Requirements
Join One of the Nation's Premier Cardiac Surgery Programs
The University of Maryland Medical Center (UMMC) is seeking an experienced Acute Care Nurse Practitioner, Physician Assistant, or RN First Assist with vein harvesting experience to join our nationally recognized Cardiac Surgery Team.
This is an exceptional opportunity to work alongside world-class cardiothoracic surgeons in a high-acuity academic medical center known for innovation, collaboration, and outstanding patient outcomes. As a Cardiac Surgery First Assist, you will play a critical role in complex cardiac procedures while contributing to exceptional perioperative patient care.
About the University of Maryland Medical Center
The University of Maryland Medical Center, the flagship academic hospital of the University of Maryland Medical System (UMMS), is a nationally respected teaching hospital committed to advancing medicine through patient care, education, and research.
In partnership with the University of Maryland School of Medicine, UMMC provides leading-edge care while training the next generation of healthcare professionals. Our collaborative culture, advanced technology, and commitment to innovation make UMMC one of the region's premier destinations for healthcare professionals seeking to grow their careers.
Position Highlights
Working under the direction of an attending Cardiothoracic Surgeon, you will:
  • First assist during complex cardiac surgical procedures
  • Perform endoscopic and open saphenous vein harvesting for coronary artery bypass grafting
  • Perform radial artery harvesting and vessel preparation
  • Assist with tissue handling, hemostasis, suturing, chest tube placement, and surgical wound closure
  • Participate in preoperative planning and postoperative patient management
  • Round on cardiac surgery patients to monitor recovery and clinical progress
  • Collaborate with surgeons, anesthesia providers, nursing staff, perfusionists, and other multidisciplinary team members
  • Participate in emergency and on-call cardiac surgery coverage
  • Support education of students, staff, and surgical trainees
  • Contribute to quality improvement and research initiatives within the Cardiac Surgery program

Qualifications
Required
  • Vein harvesting experience is required
  • Current licensure as one of the following:
  • Acute Care Nurse Practitioner
  • Physician Assistant
  • Registered Nurse First Assist (RNFA)
  • Current Maryland licensure (or eligibility)
  • BLS certification
  • Minimum 5 years of surgical first assist experience
Preferred
  • Previous experience in a high-volume cardiac surgery program
  • Endoscopic vein harvesting experience
  • Strong communication and teamwork skills
  • Commitment to excellence in patient care

Why Join UMMC?
  • Work with nationally recognized cardiothoracic surgeons
  • Practice in a leading academic medical center
  • Be part of a collaborative, multidisciplinary team
  • Access ongoing professional development and educational opportunities
  • Competitive compensation and comprehensive benefits
  • Opportunity to participate in research, innovation, and quality improvement initiatives

If you're an experienced surgical first assist looking to advance your career in cardiovascular surgery, we'd love to hear from you.
Apply today and become part of a team that's redefining cardiac care in Maryland and beyond.
The University of Maryland Medical System is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, or any other characteristic

Apply