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First Assistant Jobs in Detroit, MI (NOW HIRING)

Trinityhealth

NP/PA Ortho

Ann Arbor, MI · On-site

$106K - $137K/yr

Act as a First Assistant in Orthopedic Surgeries except spine. Respond to the Emergency Department for consultations and orthopedic procedural work, and round on the units. Rounding on the orthopedic ...

Trinity Health

NP/PA Ortho

Ann Arbor, MI

$106K - $137K/yr

Act as a First Assistant in Orthopedic Surgeries except spine. Respond to the Emergency Department for consultations and orthopedic procedural work, and round on the units. Rounding on the orthopedic ...

Trinity Health

NP/PA Ortho

Ann Arbor, MI · On-site

$106K - $137K/yr

Act as a First Assistant in Orthopedic Surgeries except spine. Respond to the Emergency Department for consultations and orthopedic procedural work, and round on the units. Rounding on the orthopedic ...

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All JobsFirst JobsFirst Assistant JobsFirst Assistant Jobs in Detroit, MI

First Assistant information

See Detroit, MI salary details

$29.7K

$122.1K

$175.2K

How much do first assistant jobs pay per year?

As of Aug 6, 2026, the average yearly pay for first assistant in Detroit, MI is $122,107.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,100.00 and $165,200.00 per year, depending on experience, location, and employer.

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 role. Some positions may require specific certifications or training, and gaining experience through entry-level roles can help advance to a first assistant position.

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 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 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 are the most commonly searched types of First jobs in Detroit, MI? The most popular types of First jobs in Detroit, MI are:
What cities near Detroit, MI are hiring for First Assistant jobs? Cities near Detroit, MI with the most First Assistant job openings:
First Assistant jobs near you
Infographic showing various First Assistant job openings in Detroit, MI as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $122,107 per year, or $58.7 per hour.

Locum - Physician Assistant - Surgery - Thoracic Clinton Twp, MI

Protean Med

Clinton Township, MI • On-site

Other

Re-posted 19 days ago

Job description

Job Description
  • Dates of Coverage: March 2025-May 2025
  • Reason for Coverage: PA out on maternity leave
  • Practice Setting: Operating room, clinic
  • Rate Type Options: Daily
  • Schedule: 4 days per week, 10-hour days
  • No Call
  • Average Number of Patients Per Day: Varies
  • Documentation System/EMR: Epic
  • Trauma Level/Designation: 2
  • APP Working Autonomously: Yes
  • Training or Experience Required: Thoracic PA experience in the operating room and pre-op testing (no new grads)
  • Patient Age Demographic: Adult
  • Submission Requirements
    Please Note at time of name clear:
    Board Certified PA (NCCPA) - REQUIRED
    Active MI license - REQUIRED
    Thoracic OR Experience or Cardiac OR first assist expereince - REQUIRED
    Clean Background- REQUIRED
    BLS, ACLS - REQUIRED
    Robotic experience- HIGHLY PREFEERED

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