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First Assistant Jobs in Baltimore, MD (NOW HIRING)

Trinity Health

HCMD_Physician Assistant

Silver Spring, MD · On-site

$103K - $140K/yr

The Physician Assistant I (PA-1) functions as an operative first assistant for multiple service lines including but not limited to Davinci robotics, general surgery, orthopedic, gynecological ...

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 Sep 14, 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.

HCMD_Physician Assistant I_S049

Silver Spring, MD • On-site

Trinity Health
Health Care and Social Assistance • 10K+ employees
Learn more about Trinity Healthexternal

$103K - $140K/yr

Full-time

Posted 18 days ago

Key responsibilities

  • Assist in surgical procedures, including laparoscopic and DaVinci robotic surgeries, and provide operative first assistance.

  • Perform post-operative assessments, coordinate patient care, and manage daily progress notes, orders, and discharge summaries.

  • Conduct patient evaluations in the Emergency Department and on the surgical floor, and assist with bedside procedures such as central venous catheter placement and thoracostomy.

Trinity Health rating

6.6

Company rating: 6.6 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

Job description

Employment Type:Full timeShift:Description:The Physician Assistant I (PA-1) functions as an operative first assistant for multiple service lines including but not limited to Davinci robotics, general surgery, orthopedic, gynecological, vascular and urology and completes post-operative assessments and management of post operative surgical patients. The PA-1 makes an assessment based on history and physical, orders ancillary tests and treatment modalities as deemed appropriate, and integrates all data in determining a diagnosis and initiating a treatment plan, with approval of the supervising physician and attending physician. The PA-I works in a team structure and communicates with all hospital departments pertinent patient findings to facilitate a collaborative management of patient care

ESSENTIAL FUNCTIONS

Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.

Provides Surgical assistance in the operating room upon request to any surgeon with a delegation agreement and as assigned by the Clinical coordinator of APPs/designee.

Develops laparoscopic and DaVinci robotic first assist skills.

Performs daily post-operative rounding and facilitate/coordinate care of the patient as requested by the supervising physician.

Responsible for admission History and Physical examinations, daily progress notes, daily orders, discharge, transfer and death summaries, discharge/transfer orders and prescriptions for all patients admitted to them by the attending surgeon.

Conducts evaluations of patients in the Emergency Department and on the surgical floor at the request of the attending surgeon.

Assists credentialed practitioners of bedside procedures including central venous catheter placement, tube thoracostomy, arterial catheter placement and peripherally inserted central catheters.

Supports Quality initiatives of Holy Cross Hospital including medication reconciliation, universal time out procedures, SCIP, VTE prevention, and electronic documentation.

Supports timely, accurate and compliant professional billing.

MINIMUM QUALIFICATIONS

  • Graduate from a PA program that is certified by the Accreditation Review Commission on Education for Physician Assistants (ARC-PA).

  • Passed the Physician Assistant National Certifying Exam (PANCE).

  • Must maintain current licensing as Physician Assistant in the State of Maryland.

  • Must qualify for prescriptive authority (Controlled Drug Substance [CDS] and Drug Enforcement Agency [DEA]).

  • Must have the ability to work in both the operating room and inpatient units

  • Must maintain BLS Certification.

  • Must possess excellent communication skills.

  • Must function well in a team environment.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What Trinity Health employees say

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US

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