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First Assistant Jobs in Baltimore, MD (NOW HIRING)

Trinityhealth

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 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.

Physician Assistant - Acute Care Emergency Surgery (ACES) - 24-Hour Shifts

University of Maryland Medical System

Largo, MD • On-site

$544K/yr

Full-time

Re-posted 18 days ago

Job description

Job Requirements
Capital Region Health is seeking a highly motivated Physician Assistant to join our expanding Acute Care Emergency Surgery (ACES) team in Largo, Maryland. This unique position offers the opportunity to provide comprehensive care to trauma and acute care surgery patients while working closely with a multidisciplinary team of surgeons, advanced practice providers, nurses, and specialists.
The successful candidate will primarily provide coverage for 24-hour ACES shifts, caring for patients across the continuum of surgical and trauma care. In addition to acute care surgery and trauma services, providers may support urology, plastic surgery, vascular surgery, and thoracic surgery as operational needs require.
This role is ideal for physician assistants seeking a high-acuity, procedure-focused practice with opportunities for surgical first assist, leadership development, and cross-training across multiple specialty service lines.
Position Highlights:
  • Primary coverage of 24-hour Acute Care Emergency Surgery shifts
  • Work within a Level II Trauma Center environment
  • Manage complex trauma and acute surgical patients
  • Perform advanced bedside procedures
  • First assist in the operating room
  • Exposure to multiple surgical specialties
  • Cross-training opportunities with additional APP service lines
  • Collaborative, physician-led practice environment
  • Strong commitment to professional development and career growth

Primary Responsibilities:
In collaboration with the physician care team, the Physician Assistant will:
  • Provide diagnostic, therapeutic, and preventive healthcare services to trauma and critically ill surgical patients
  • Obtain comprehensive medical histories and perform physical examinations
  • Conduct daily patient rounds and coordinate care plans
  • Order, interpret, and evaluate diagnostic testing and imaging studies
  • Formulate diagnoses and initiate evidence-based treatment plans
  • Manage trauma and acute care surgery patients throughout hospitalization
  • Communicate effectively with attending physicians, consulting services, nursing staff, patients, and families
  • Perform advanced procedures as credentialed, including:
  • Central venous catheter placement
  • Chest tube insertion
  • Trauma and acute care surgical procedures
  • First assist in operative cases
  • Provide patient and family education regarding diagnoses, treatments, and recovery plans
  • Participate in discharge planning and care coordination
  • Support quality improvement initiatives and patient safety programs

Essential Skills and Qualifications:
The ideal candidate will possess:
  • Outstanding verbal and written communication skills
  • Strong clinical judgment and critical thinking abilities
  • Ability to effectively manage multiple priorities in a fast-paced environment
  • Confidence in autonomous decision-making while collaborating with multidisciplinary teams
  • Excellent procedural and technical skills
  • Strong organizational and time-management capabilities
  • Commitment to continuous learning and professional growth
  • Ability to work effectively with diverse patient populations and healthcare professionals
  • Dedication to compassionate, patient-centered care

Commitment to Clinical Excellence:
The Physician Assistant will:
  • Practice in accordance with Maryland Board of Physicians standards and approved collaborative practice agreements
  • Maintain competency in trauma, acute care surgery, and procedural skills
  • Meet all organizational and departmental performance expectations
  • Participate in quality assurance and performance improvement initiatives
  • Identify and communicate potential patient safety concerns and process risks
  • Maintain procedural complication rates below national benchmarks
  • Consistently support evidence-based clinical practice standards

Leadership and Professional Development:
As a valued member of the APP team, you will:
  • Participate in APP Council meetings and service-line meetings
  • Attend organizational educational programs and professional development activities
  • Engage in committee participation and leadership opportunities
  • Support the education and mentorship of APP colleagues, students, and trainees
  • Participate in specialty-specific educational initiatives and training programs
  • Contribute to organizational goals and strategic initiatives

High Reliability Organization Culture:
Capital Region Health is committed to:
  • Patient Safety and Zero Harm
  • Clinical Excellence
  • Professionalism and Accountability
  • Collaboration and Mutual Respect
  • Innovation and Continuous Improvement

The Physician Assistant will support and uphold these principles while delivering exceptional care to patients and families.
Minimum Qualifications:
Required
  • Bachelor's degree from an accredited institution
  • Graduation from an ARC-PA accredited Physician Assistant program
  • Current NCCPA certification
  • Current Maryland Physician Assistant licensure and registration
  • Credentialing through the University of Maryland Capital Region Health Medical Staff Office
  • Current BLS and ACLS certifications
  • ATLS certification required (may be obtained after hire)
  • Participation in approved continuing medical education programs

Preferred
  • Minimum of one year of experience in:
  • Trauma Surgery
  • Acute Care Surgery
  • Emergency Medicine
  • Critical Care
  • General Surgery

Continuing Education Requirements:
  • Complete a minimum of 50 Category I CME hours every two years
  • Complete 32 hours of trauma-related CME
  • Maintain competency in all required subspecialty areas and procedural skills
  • Participate in ongoing APP educational opportunities and training programs

Why Join Capital Region Health?
At Capital Region Health, you'll become part of an innovative and growing surgical program dedicated to providing exceptional care throughout the region. Our team offers a supportive environment where advanced practice providers are empowered to practice at the top of their training while advancing professionally through mentorship, leadership opportunities, and continuous learning.
Compensation: Salary is competitive and commensurate with clinical experience.
Join our Acute Care Emergency Surgery team and make a meaningful impact on the lives of trauma and surgical patients every day.
We are not accepting inquiries or solicitations from 3rd party recruiters/search firms.
All your information will be kept confidential according to EEO guidelines.

Apply