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Orthopedic Physician Assistant (PA-C) Surgical First Assist (100% Operating Room)

Orthopedic Institute of North Texas
Frisco, TX Full Time
POSTED ON 9/28/2026
AVAILABLE BEFORE 1/24/2027

Orthopedic Institute of North Texas (OINT)
Dallas–Fort Worth Metroplex | Full-Time | Travel Required

Orthopedic Institute of North Texas (OINT) is a rapidly growing, physician-owned orthopedic practice seeking an experienced Physician Assistant (PA-C) to join our surgical team as a dedicated Surgical First Assistant.

This is a 100% operating room position with no clinic responsibilities, or on call rotation. The selected Physician Assistant will rotate among our four highly respected orthopedic surgeons and travel to hospitals and ambulatory surgery centers throughout the Dallas–Fort Worth Metroplex.

POSITION SUMMARY

· Function exclusively as a Surgical First Assistant for four orthopedic surgeons.

· Provide intraoperative assistance during upper and lower extremity orthopedic procedures.

· No clinic, office, or routine patient follow-up responsibilities.

RESPONSIBILITIES

· Serve as Surgical First Assistant during orthopedic surgical procedures.

· Travel to multiple hospitals and ambulatory surgery centers throughout DFW.

· Maintain strict sterile technique and comply with hospital, ASC, OSHA, and infection prevention policies.

· Provide tissue handling, exposure, suction, hemostasis, wound closure, dressings, and immobilization.

· Collaborate with surgeons, anesthesia providers, OR nurses, surgical technologists, and vendors.

· Complete all required surgical documentation.

REQUIRED QUALIFICATIONS

· Current Texas Physician Assistant (PA-C) license in good standing.

· Current NCCPA Certification.

· Current BLS and ACLS certifications.

· Orthopedic surgical first assist experience strongly preferred.

· Experience with upper and lower extremity orthopedic procedures.

· Valid Texas driver's license and reliable transportation.

PREFERRED EXPERIENCE

· Arthroscopy

· Total Joint Replacement

· Fracture Fixation / Trauma

· Foot & Ankle Surgery

· Hand & Wrist Surgery

· Shoulder Surgery

· Sports Medicine

· Orthopedic Instrumentation

WHY JOIN OINT?

· 100% Operating Room Position – No clinic or on-call responsibilities.

· Work alongside four highly respected orthopedic surgeons.

· Rapidly growing physician-owned orthopedic practice.

· Competitive salary, benefits, and opportunities for professional growth.

BENEFITS

· Competitive Salary (DOE)

· Health, Dental & Vision Insurance

· Paid Time Off

· Paid Holidays

· 401(k) (if applicable)

· Continuing Education Opportunities

SCHEDULE

· Full-Time

· Monday–Friday

· Hours based on surgical schedule

· Travel throughout the Dallas–Fort Worth Metroplex

Orthopedic Institute of North Texas is an Equal Opportunity Employer.

Pay: From $120,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Professional development assistance

Application Question(s):

  • Do you currently hold an active Physician Assistant (PA-C) license or are you eligible for Texas licensure before your start date?
  • Do you have experience first assisting in orthopedic surgery?
  • How many years of orthopedic surgical first assist experience do you have?
  • Have you assisted in both upper extremity and lower extremity orthopedic procedures?
  • Are you willing to travel throughout the Dallas–Fort Worth metroplex to multiple hospitals and surgery centers?
  • Are you comfortable rotating between four orthopedic surgeons with varying surgical preferences and techniques?

Work Location: In person

Salary : $120,000

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