For example, to draw rough surfaces, point-to-point lines are the most efficient way, with a ton of points. For industrial geometric shapes, lines and ellipses become efficient. As the smoothness of the curve goes up, more derivatives become valid. But sometimes those higher derivatives are not useful.
This is why the parent comment likes the Pencil tool; it's optimal for high variation, because it is a local (smoothed) control of position, the zeroth derivative. The cost is some loss of smoothness, which likely doesn't matter for her domain, since her hands move smoothly enough.
I think the Pen tool would be a more competitive alternative with a better control scheme. For example, a Pen tool with local control would unify the Pencil and Pen: letting you draw jagged curves by holding your mouse down, and letting you draw straight lines and smooth curves by clicking. There would be no interruption of flow, as you can use either method freely to continue a curve. They should inherently be the same tool anyway, just with different numbers of derivatives.
