EMR courses shall be taught by: EMR instructors; Interim EMR instructors under the supervision of an EMR instructor; or Emergency medical technician instructors. An EMR instructor who is not an emergency medical technician instructor shall: Successfully complete a MIEMSS-approved instructor training course; Successfully complete a MIEMSS EMR instructor course and a MIEMSS-approved EMR written examination, with a minimum score as approved by MIEMSS; Successfully complete 2 hours of supervised practice teaching consisting of 1 hour didactic and 1 hour practical skills, and receive a satisfactory evaluation from a MIEMSS-approved EMR instructor evaluator or an emergency medical technician instructor who is also an approved MICRB evaluator; Teach 40 hours as an interim instructor and receive two consecutive satisfactory evaluations from a MIEMSS-approved EMR instructor evaluator, or an emergency medical technician instructor who is also an approved MICRB evaluator; and Submit to MIEMSS at the end of the interim teaching: All course paperwork; and A completed EMR instructor application showing two consecutive successful evaluations and practice teaching dates. Approval as an EMR instructor shall be for up to 3 years. Maintaining EMR Instructor Approval. To maintain EMR instructor approval, an individual during the 3-year period of approval shall: Satisfy all of the following: Teach at least: 20 hours of EMR instruction with 6 hours devoted to skills; or 14 hours of EMR instruction and attend an approved skills refresher; Receive at least one satisfactory teaching evaluation with no subsequent unsatisfactory evaluation by a MICRB evaluator who is an emergency medical technician instructor or MIEMSS-approved EMR instructor evaluator; Maintain current Maryland EMS provider certification or licensure; Attend EMR instructor workshops as necessary; Provide MIEMSS with documentation of hours taught; and Apply to MIEMSS for renewal as an EMR instructor; or Maintain current MIEMSS approval as an emergency medical technician instructor and attend EMR instructor workshops as necessary. The EMR instructor may also function as the EMR program coordinator if qualified. EMR Instructor Reinstatement. A former EMR instructor whose approval has expired may apply to MIEMSS for reinstatement within 3 years of expiration. The EMR instructor reinstatement candidate shall: Be certified or licensed as a Maryland EMR or higher level EMS provider; Have successfully completed, within the last 3 years, 1 hour didactic and 1 hour practical skills supervised practice teaching with a satisfactory evaluation from a MIEMSS-approved EMR instructor evaluator or an emergency medical technician instructor who is an approved MICRB evaluator; and A completed EMR instructor application showing two consecutive successful evaluations from practice teaching. Approval as an EMR instructor shall be for 3 years or concurrent with the EMR, the emergency medical technician, or the MICRB certification period. An EMR instructor whose lapsed approval status is in excess of 3 years is required to meet initial EMR instructor requirements.