There are two elements to Trimix training, one of which is the theory related to using Helium in the breathing mix. But the second, and probably the most important, is the incident management, and the planning required to mitigate risk and manage failures during a trimix dive.
When I switched from OC to CCR, although, having a full OC trimix ticket, I opted to do the rebreather trimix course. Whilst there was the usual planning and dive skills, the most arduous, and most interesting, where the incident exercise and drills.
Granted, this was well beyond the limitations of Normoxic trimix.
Also having spent time with students on Trimix courses, and prior to that ERD, I have been surprised by the number of divers who attend who are diving well outside their comfort/capability zone. On occasion, it can be quite frightening.
I have a huge amount of respect for those instructors who run these courses, I don't think I would have the nerve to have that level of responsibility with unknown divers under these circumstances. When i have taught advanced courses, I have had the advantage of knowing the candidates in advance, or I have been an assisting instructor.