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Medical opportunity

Physician Assistant (Surgical 1st Assistant)

Geneva, NY On-site $125,000.00 - $135,000.00

Posted: September 10, 2026

Physician Assistant – Surgical First Assistant
Direct Hire | Full-Time | Geneva, NY - Finger Lakes
Take your surgical career to the next level in a role that blends hands-on operating room experience with meaningful patient care across the surgical continuum. This opportunity is ideal for a Physician Assistant who thrives in a fast-paced environment and enjoys being an integral part of a high-performing surgical team.

Your Role
You’ll work closely with the Chief of Surgery, as well as Vascular and Oncology Surgeons—serving as a First Assist in the OR while also supporting patients before and after surgery in the clinical setting.

What You’ll Do


Act as First Assist in the operating room


Support pre-operative evaluations and post-operative follow-up care


Participate in clinic responsibilities and patient management


Assist with inpatient rounding as needed


Coordinate communication with referring and primary care providers to ensure seamless continuity of care



What You Bring


Current New York State Physician Assistant license


National Certification (NCCPA)


Valid DEA license


BLS and ACLS certifications


Strong clinical assessment and communication skills


Confidence working in both surgical and clinical environments



Compensation & Benefits


Salary Range: $125,000 – $135,000


Competitive compensation with incentives


Student loan repayment support


Sign-on bonus


On-site child daycare


Comprehensive benefits package


Supportive, collaborative surgical team


Opportunities for growth and advancement



If you’re looking for a role where you can be hands-on in the OR while building strong patient relationships beyond surgery, this position offers the perfect balance.