Durham VA Healthcare System

The Durham VA Health Care System operates from a campus on Fulton Street in Durham, North Carolina, adjacent to Duke University's medical center, and functions within the Veterans Health Administration. That location underpins a longstanding affiliation with the Duke University School of Medicine, making the facility a teaching site for residents, fellows, and health professions students, and supporting one of the more active research programs in the VA system. Community-based outpatient clinics extend care across central and eastern North Carolina.

Services include inpatient medical and surgical care, intensive care, surgery, primary care, and a broad range of outpatient specialty clinics, alongside mental and behavioral health programs covering outpatient treatment, PTSD care, substance use treatment, and outreach to veterans experiencing homelessness. Extended care and rehabilitation services support an aging veteran population. Nurses practice across critical care, medical-surgical, perioperative, outpatient, and mental health settings, with acuity reflecting the hospital's role as a referral destination for veterans throughout the region. Nursing positions fall under federal employment, so pay scales, benefits, and advancement follow VA structures rather than the terms at Duke Health or UNC Health.