Entry Level Surgical Assistant Jobs
New grad surgical assistant jobs attract recent graduates and entry level candidates with zero to two years of experience, where a strong clinical internship or hands-on training program can matter more than a long resume. Most openings are on-site roles across Healthcare & Medical Services, Science & Research, and Education, with employers like Northwell Health, Banner Health, and Ascension hiring at this level now.
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At Houston Methodist, the Surgical Physician Assistant (PA) functions as an advanced practice practitioner maintaining and promoting the health of the patient requiring care, practicing medicine under the supervision of a licensed physician. This position will provide diagnostic, therapeutic, surgical and preventative care, under the supervision of a physician. The surgical PA position will assist the physician in the global management of patient care in all peri-operative settings; their primary role is to assist licensed physicians in patient surgery. This end-to-end involvement enables surgical PAs to provide unparalleled continuity of patient care. This position will work in both inpatient and outpatient settings and can perform independently under the license of a physician or as part of a treatment team. The Surgical PA position will take call as required or as outlined by their supervising physician, manager or lead. This position should be in the OR a minimum of 30%. In addition, the Surgical PA position exams, diagnoses and decides treatment for patients, including analyzing and interpreting x-rays and lab results, writes prescriptions, takes patients' histories and orders various forms of therapy. This position affects direct patient care according to the Board of Physician Assistant Examiners in the State of Texas and Houston Methodist policies and procedures.
FLSA STATUS
Exempt
QUALIFICATIONS
Education
- Bachelor’s degree
- Graduate from accredited Physician Assistant program by National Commission on Certification of Physician Assistants (NCCPA)
Experience
- One year of surgical experience
LICENSES AND CERTIFICATIONS
Required
- PA - Physician Assistant - State Licensure - Texas Department of Licensing and Regulation
- PA-C - Physician Assistant-Certified (NCCPA) - National Commission on Certification of Physician Assistant
- DEA - Narcotics License (DEA) - Drug Enforcement Administration
- BLS - Basic Life Support or Instructor (AHA) - American Heart Association
- ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association
SKILLS AND ABILITIES
- Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
- Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
- Use of critical thinking skills and clinical judgment to work autonomously as defined by the Board of Physicians Assistants
- Accepts accountability for outcomes in healthcare
- Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care
- Strong organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components
- Ability to exercise judgment in interactions with physicians, interprofessional care team and patients and their families
- Demonstrates proficient time management skills
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
- Demonstrates leadership as a clinical resource, interprofessional consultant, and patient advocate. Participates in rounding independently or with physicians/surgeons and attends interdisciplinary rounds, as appropriate, by specialty.
- Collaborates to foster healthy relationships in the work environment. Acts as a role model and coaches staff in effective verbal, non-verbal and written communication. May serve as first call for hospital staff. Serves as preceptor for Physician Assistant students and medical residents, as appropriate.
- Communicates organizational information and aspects of administrative and clinical practice in a respectful and positive manner when interacting with staff. Advocates for a balanced workload, promotes positive behaviors, and peer-to-peer accountability. Facilitates the promotion of teamwork. Uses peer-to-peer accountability towards improvement of department score for employee engagement.
- Collaborates with interprofessional health care team members to manage/coordinate patient care. Advocates on patient/family’s behalf to identify and resolve clinical and ethical concerns.
SERVICE ESSENTIAL FUNCTIONS
- Coordinates appropriate, timely patient care between health care providers and other ancillary clinicians, as appropriate, under a physician license, for a defined patient population(s), focusing on identified expected unit/optimal outcomes, individualized to the patient. Helps drive improvement of department score for patient satisfaction, through peer-to-peer accountability to service standards.
- Collaborates quality health care with interprofessional team members to manage/coordinate patient care. Provides first-assist and/or second-assist surgical services as needed.
- Responds and is available timely to patient questions/issues that arise as triaged by clinical staff and provides assistance for emergencies, as needed.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
- Performs independent or delegated functions under physician license, such as diagnosis, use of prescriptive authority, and treatment according to practice guidelines, protocols, and/or standing orders.
- Reviews medications and test reports on patients, responds to critical test results, and advises on any corrective action based on the results.
- Conducts comprehensive health assessments (initial, ongoing, discharge), identifies normal/abnormal health characteristics, develops plan of care, initiates appropriate interventions, and evaluates care outcomes on defined patient populations. Performs quality and safe diagnostic, surgical and/or therapeutic procedures necessary for defined patient populations.
- Assists the interprofessional health care team in the development and implementation of protocols to ensure patient safety. Integrates and contributes to professional practice standards, policies, procedures, protocols and leads improvements in patient safety-related processes.
FINANCE ESSENTIAL FUNCTIONS
- Performs accurate and timely documentation in medical records, including diagnosis and CPT coding.
- Implements department strategies to achieve financial target and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, and other areas according to department specifications. Projects awareness and understanding of resource allocation based on patient needs and staff experience, knowledge, and skills.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
- Fosters identification and implementation of innovative solutions to improve patient care or department operations such as the organization’s quality metrics or other department-specific measures by leading and/or participating in department and/or hospital projects/activities or a hospital committee.
- Provides education of information/knowledge in professional activities such as research, presentations, and publications. Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an ongoing basis.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
- Uniform: No
- Scrubs: Yes
- Business professional: Yes
- Other (department approved): Yes
ON-CALL
- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call: Yes
TRAVEL
Travel specifications may vary by department
- May require travel within the Houston Metropolitan area: Yes
- May require travel outside Houston Metropolitan area: Yes
Company Profile:
Houston Methodist Specialty Physician Group is an integral part of Houston Methodist’s overall strategy to become one of the nation’s leading academic medical centers. Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment.
Houston Methodist is an Equal Opportunity Employer.
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- Education5
- Consulting & Professional Services2
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Entry Level Surgical Assistant Jobs: Frequently Asked Questions
How do I get an entry level surgical assistant job?
Start by completing an accredited surgical assistant program or earning a certification such as the CSFA or CSA, which many employers require even at the entry level. Hands-on clinical hours from a practicum or surgical tech internship carry significant weight. Tailor your resume to highlight sterile technique, instrument handling, and any OR exposure, and apply to hospitals, ambulatory surgery centers, and surgical specialty practices that explicitly welcome new graduates.
Which companies hire entry level surgical assistants?
Companies hiring entry level surgical assistants right now include Northwell Health, Banner Health, and Ascension, based on current listings on Migrate Mate as of November 2026. At this level, hospital systems, outpatient surgery centers, and physician-owned specialty practices tend to post the most openings and are generally the most open to candidates coming directly out of training programs.
Are there remote entry level surgical assistant jobs?
Yes, though the role is primarily hands-on and most openings require on-site presence in an operating room or surgical suite. About 6% of entry level surgical assistant openings are remote or hybrid as of November 2026, and those positions typically involve coordination, scheduling, or administrative support functions rather than direct surgical assistance at the scrub or first-assist level.
Are these new grad surgical assistant jobs?
Yes, the listings here include new grad, recent graduate, and junior surgical assistant roles. A posting is new-grad friendly when it welcomes zero to two years of experience, counts clinical rotations or practicum hours toward its requirements, or explicitly accepts candidates who hold a certification but have not yet worked in a paid surgical assistant role. Look for language like "new grads encouraged" or "training provided" in the job description.
Which industries hire the most entry level surgical assistants?
Entry Level surgical assistant roles concentrate in Healthcare & Medical Services, Science & Research, and Education, based on current listings on Migrate Mate as of November 2026. These sectors drive entry level hiring because surgical volume is high and facilities continuously need trained candidates who can step into the OR, follow sterile protocols, and support surgical teams without requiring years of independent experience first.