i know it is part of the SDI drift diver course. you watch the instructor deploy one on the first dive to see how it is done, then do it yourself on the second.
i have seen more people try to sell the safety sausage to divers that will not have a use for a lift bag as a SMB. they are told use use it at 15 feet to mark your position for the safety stop to be seen by the boat. i did not get shown how to use one ever, and did it my first time on a solo diver course. the next time was for my deco class and i used a lift bag this time.
i do know if you do a serch and recovery class, depending on what the search and recovery is for, they use a lift bag. but this does not fall into the same catagory if you ask me. attaching a lift bag to an object and inflating it is not like having to deal with the reel or finger spool that is attached to anything being used to mark your position while still underwater.
it is my belief that it should be part of all AOW courses, and all instructors should be proficient in there use. it is to much for a new diver to deal with on the first four dives with all the other skills they have to do.
if you are going to dive in water where you feel you may need one, go with a more experienced diver and have him show you how it is done, then you can go somewhere and practice. once you get good at it , it will become second nature if you ever need to deploy it.