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First Assistant Jobs in Baltimore, MD (NOW HIRING)

Physicians Assistant II - PRN

Silver Spring, MD · On-site

$103K - $140K/yr

The Physician Assistant II (PA-2) PRN is competent to First Assist in the OR for at least 4 service lines and completes post-operative assessments and management of post operative surgical patients.

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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 15, 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.
General Surgery Physician Asst - MedStar Franklin Square Medical Center

General Surgery Physician Asst - MedStar Franklin Square Medical Center

MedStar Health

Baltimore, MD

$115K - $190K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago


Medstar Health rating

7.8

Company rating: 7.8 out of 10

Based on 238 frontline employees who took The Breakroom Quiz

130th of 872 rated healthcare providers


Job description

About the Job

Physician Assistant/Acute Care Nurse Practitioner- General Surgery- MedStar Franklin Square

MedStar Medical Group offers a uniquely rewarding career in a major marketplace. Become part of an organization that welcomes your experience, input, and leadership - as a clinician and healthcare expert. MedStar Health is looking for qualified candidates to join our growing team of 13 highly skilled Advanced Practice Providers. We offer a supportive team environment with hands-on training from our surgeons, residents, and fellow APP's. This position offers exposure to multiple surgical specialties. We are a Robotic surgery center of excellence, and our new state of the art 14 OR surgical pavilion supports an array of innovations, advanced multispecialty surgical techniques, and cutting-edge medical imaging.

Nurse practitioners who apply for this role are required to be an ACNP. We cannot accept FNP's for this role. NP's will be required to have completed the RN first assist course to be considered.

Job Summary

* First Assist in General Surgery, Orthopedic, Neurosurgery, Plastic Surgery, Thoracic, Ob/Gyn, GynOnc, and Vascular surgery procedures

* Perioperative patient management

o Ordering and interpreting diagnostic lab tests

o Conducting surgical history and physical exams

o Inpatient rounding and consultations

o Wound care and bedside procedures under direct and indirect supervision

o Perform medication reconciliation and help to arrange appropriate post-discharge follow up for all surgical patients.

* Patient/family education

* Collaborate with the physician and other clinical staff members to maintain continuity of care.

* Participate in developing, reviewing, and revising medical/surgical protocols.

* Participate in training of staff and students

Join our developing team with great room for growth, and a collaborative atmosphere.

As a MedStar Medical Group clinician, you can expect:

* A competitive salary

* Eligibility for Quality and Productivity bonuses

* Medical, dental and vision insurance

* Paid malpractice insurance

* Generous paid time off

* CME leave and CME allowance

* Retirement saving plan - 403(b) with employer match

Be a part of a nationally recognized health system and the largest provider of health services in the Baltimore/Washington region. With our vast resources and capabilities at your disposal, you can expand your clinical expertise. Enjoy a rich career and a quality of life unique to Baltimore and the Mid-Atlantic region, which features a mix of urban, suburban, and rural communities. MedStar Health is a 501c(3) organization.

The salary range for this position is between $115,000 - $190,000, based upon experience. Additional compensation paid for On Call responsibilities and shift differentials. MedStar Medical Group is an equal opportunity employer.

This position has a hiring range of
USD $115,000.00 - USD $190,000.00 /Yr.

What Medstar Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Medstar Health logo

About Medstar Health

Sourced by ZipRecruiter

MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Columbia, MD, US

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