Skills and full refresher courses eligible for credit under COMAR 30.02.02.07 shall be provided under the requirements of this chapter by EMS Board approved: ALS education programs; BLS education programs; EMD education programs; or Programs listed in COMAR 30.04.05.02C which: Complete an application approved by MIEMSS; Have policies and procedures in place which address: Student attendance; Nondiscrimination and fair practices with regard to students, faculty, and program personnel; Selection of a medical director, coordinator, and faculty; Evaluation of the courses and evidence to demonstrate continuous quality improvement; and Record maintenance for at least 5 years following course completion in a manner to prevent loss, destruction, or unauthorized use; Have adequate physical resources to effectively deliver courses including necessary equipment; Have sufficient financial resources to ensure complete course delivery for all enrolled students; Have faculty or instructors approved by the medial director; Utilize only emergency medical technician refresher or skills courses instructors who meet the requirements under COMAR 30.04.03.09; and Submit an annual report to MIEMSS in an approved format. The period for which EMS Board approval for programs offering skills and full refresher courses is valid: Coincides with the program approval for approved ALS, BLS, or EMD education programs; and Is 5 years for other programs. Other continuing education courses eligible for credit under COMAR 30.02.02.07 shall be provided by: EMS operational programs; Hospitals accredited by the Joint Commission on Accreditation of Healthcare Organizations; EMS Board approved proprietary education programs; Entities accredited by the Emergency Numbers Systems Board; or Education programs listed in §A of this regulation. Distance Education. Scope. Training programs may use distance education for cognitive components of continuing education leading to EMS relicensure or recertification if the program: Demonstrates the methods of distance education used are educationally and technically appropriate for the content and audience; and Ensures the quality of the distance education method including: Learning and teaching considerations; Communication; Educational and technology design; and Program and system management. Distance education programs may apply for a course number and approval as outlined in Regulation .06 of this chapter.