Can the responsibility for performing the history and physical examination be delegated to another clinician such as an advanced practice nurse or physician assistant?  

Any examples are for illustrative purposes only.

A history and physical examination is to be performed by a Physician or a Licensed Practitioner (LP). However, this responsibility can be delegated to any qualified individual consistent with law and regulation and organization's policy. Before allowing the delegation of responsibilities the organization must determine - and be able to demonstrate - whether state law and regulation and professional practice acts allows such delegation and under what circumstances. The definition of LIP can be found in the glossary of the Accreditation Manual.

• Only authorized staff conduct history and physicals. 
• Only authorized staff perform the components of a history and physical examination that have been delegated by a Physician or LP.
• The medical history and physical examination is performed under the supervision of, or through appropriate delegation by, a specific qualified physician who countersigns in accordance with law, regulation and organizational policy, and retains accountability for the patient's medical history and physical examination.

Note: Above guidelines are also applicable to medical students.