James was awarded his medical degree by the University of Melbourne in 1992, and completed his internship at Royal Melbourne Hospital. His Orthopaedic training was also in Melbourne, working across a range of hospitals in metropolitan Melbourne and regional Victoria. He completed his Orthopaedic surgery specialty training in 2002, becoming a Fellow of the Royal Australasian College of Surgeons. He then travelled overseas to gain further subspecialty training in Hip and Knee surgery at the Avon Orthopaedic Centre in Bristol. He completed his time overseas as a Locum Consultant at the Bristol Royal Infirmary. Since his return at the end of 2003 he has set up a practice in hip and knee surgery with a special interest in joint replacement. James is currently the Director of Orthopaedics at St Vincent's Public Hospital, where he administers a unit of 18 orthopaedic surgeons. He enjoys teaching orthopaedic surgical trainees. He has been an Assistant Deputy Director of the AOA National Joint Replacement Registry for the last 7 years.