Agreed. For me hand drawing is the way forward for speed and also adding a little bit of an organic feel. Point by point tweaking is time consuming and seems to really aggravate my RSI :-)

I also noticed that there is a 'smooth region' short cut though I would love a smoothing pen as previously mentioned.

I'm really surprised not more is made of this tool on the new features page. It really is a major step forward for me.