I mean it can be both. Some people really struggle with that level of hand eye coordination. That's one of the reasons I really appreciated Overwatch. It gave a lot more options to play well that didn't require the ability to click on heads at all. This doesn't just help uncoordinated or less experiences players, but also players with disabilities of various sorts. The character Mercy for instance has a beam which heals or boosts damage but it locks onto a player so tight aim is rarely ever a concern and game sense becomes almost everything.