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First Assistant Jobs in Baltimore, MD (NOW HIRING)

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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 II

Mercy Medical Center, Inc.

Baltimore, MD • On-site

$70.30 - $126.53/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 28 days ago

Job description

Summary

Join Our Team at Mercy Medical Center – Now Hiring a Physician Assistant to support the Maryland Spine Center at Mercy,


Mercy Medical Center is honored to be recognized by Newsweek as one of America's Most Trustworthy Companies for three consecutive years (2023–2025) and as one of America's Greatest Workplaces for Women in 2025. Additionally, we are proud to be a multi-time recipient of Forbes' America's Best Midsize Employers award, most recently in 2025.


As a hospital founded by the Sisters of Mercy, we offer a supportive and empowering environment where dedicated medical professionals thrive. If you're passionate about making a meaningful impact through your work and contributing to a mission of compassionate care, we invite you to apply today and join our Mercy family.


Responsibilities

Practice in the inpatient clinical practice setting with shared responsibility for assessment and management of patients at The Maryland Spine Center includes:



  • Coordinates care for Spine patients through the course of hospital admission & inpatient care, and discharge planning: coordinating the continuity of care between the hospital floor setting, operating room and discharge

  • Cross coverage on inpatient floor, supporting rounds on patients until discharge support is required, D/C summaries, prescriptions, medicine reconciliation, patient education, private MD communication, quality assurance, and miscellaneous rounding support

  • Capable of serving as the first assist during surgery

  • Dictates admission and daily progress notes, orders, and directs discharge planning & follow up, and works to improve the quality of care & patient satisfaction. Implements strategies to decrease length of stay & re-admission rates on the inpatient service

  • Educates patients and/or families about the spine condition, discharge planning, preventive care, medical issues, and use of prescribed medical treatments and/or medications

  • Works collaboratively with other specialties in coordination and communication of patient care needs

  • Maintains accurate and confidential electronic medical records:documents all medical evaluations, diagnoses, procedures, treatment, outcomes, education, referrals, discharge summaries and consultations consistent with state regulatory standards

  • Works to collaborate with physicians, residents, and fellows, which facilitates timely consultative and referral services

  • Will be instrumental in the development of care pathways and protocols for The Maryland Spine Center service line

  • Active involvement with quality improvement initiatives as well as best practice models for hospital and The Maryland Spine Center

  • Integrates education, research, leadership, and consultation into clinical role and functions in collegial relationships with nursing peers, physicians, and professionals and others who influence the healthcare environment

  • Participate in staff education, independent or requested consultation, research, and administrative activities

  • Analyzes new knowledge gained from conferences, workshops, professional literature, or "hands on training" and assimilates this knowledge into clinical practice


Requirements

  • This role requires on call weekend coverage one time per month

  • This is a day shift position, Monday through Friday. The schedule is flexible and will be discussed during the interview, taking into account the department's needs

  • Must possess a Physician Assistant or Nurse Practitioner degree from an accredited school

  • Two years of experience as a practicing PA/NP preferred

  • Experience as a first assist is preferred, but not required

  • Must possess a State of Maryland Physician Assistant or Nurse Practitioner License, in good standing

  • Certification Requirements - CPR


Min


USD $51.03/Hr.


Max


USD $91.85/Hr.


Benefits

Benefits Eligibility is based on your scheduled FTE status and Job Category



  • Competitive health, prescription, vision and dental benefits & wellness credit for eligible employees

  • 403(b) retirement plan with generous company match and “catch up” provision

  • Paid Time Off (PTO) & company paid holidays

  • Tuition reimbursement

  • Mental Health resources and other employee related wellness opportunities through our Employee Assistance Program

  • Employer paid Short & Long Term Disability benefits for eligible employees

  • Voluntary Benefits

  • Discounts on auto & home insurance and Verizon plans

  • Mercy’s Rewards & Recognition Program rewarding employees for going above and beyond in living Mercy’s Mission and Values


EEO Statement

Mercy Health Services is sponsored by the Sisters of Mercy. We are an Equal Opportunity Employer (EEO) recruiting talent for Mercy Health Services, which serves the greater Baltimore Metro and surrounding Maryland areas.

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