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First Assistant Jobs in Baltimore, MD (NOW HIRING)

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 ...

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 ...

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 ...

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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 Jun 13, 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.

How do I become a first assistant?

To become a first assistant, candidates typically 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, and on-the-job experience is highly valued. Developing a good understanding of the job's responsibilities and building professional relationships can also help advance to this position.

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 jobs pay 2000 a day?

First Assistants in film and television production can earn around $2,000 or more per day, especially for high-profile projects or with extensive experience. Such roles often require specialized skills, industry connections, and the ability to work long hours on set. Other high-paying freelance or consulting roles in finance, law, or executive management can also reach this daily rate, but they typically require advanced qualifications and significant expertise.

How much do first assistants make per hour?

First assistants typically earn between $15 and $30 per hour, depending on experience, location, and the industry they work in. They often work in fast-paced environments and may require strong organizational skills and familiarity with office tools.

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 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 lead professionals. They handle tasks such as coordinating schedules, managing equipment, and assisting with technical or logistical needs to ensure smooth operations. Strong organizational skills and knowledge of industry tools are essential for this role.
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:
Infographic showing various First Assistant job openings in Baltimore, MD as of June 2026, with employment types broken down into 4% As Needed, 68% Full Time, 20% Part Time, 2% Temporary, and 6% Contract. Highlights an 96% In-person, 2% Hybrid, and 2% Remote job distribution, with an average salary of $132,602 per year, or $63.8 per hour.
Physician Assistant - Surgical First Assistant

Physician Assistant - Surgical First Assistant

University of Maryland Medical System

Towson, MD • On-site

$54 - $81/hr

Full-time

Posted 8 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


Employment Type: FULL_TIME