Reviewing the performance and activity of members of the medical staff is the direct responsibility of the medical staff itself. However, the board of trustees must review and take appropriate action on appointments and clinical privileges recommended by the medical staff. In doing so, the board must ensure that the appointment of physicians and delineation of their clinical privileges is consistent with the provision of quality patient care. Furthermore, the board must ensure that in dealing with physicians in these matters due process is followed and the physician's right to fair treatment is protected.