There's a lot of emphasis on the difference quotient, as it's on the AP test and all that, but honestly using the power rule plus the product rule is soo much easier and gives you the same answer and slope. What am I missing here?
For example, if you wanted to differentiate $$f(x)=\frac{x^2+4x-2}{x-1},$$ you could either do $$f'(x)=\frac{d}{dx}[(x^2+4x-2)(x-1)^{-1}]=(2x+4)(x-1)^{-1}-(x^2+4x-2)(x-1)^{-2}, $$ or you could do $$ f'(x)=\frac{(x-1)(2x+4)-(x^2+4x-2)(1)}{(x-1)^2}. $$
I'm confused by the question. In AP Calc classes you need to know both, but usually on free-response they will let you derive equations using method of choice. You might need to be able to recognize a difference quotient in a multiple choice or free-response, and it is important to understand the intuition behind it! However, you surely don't have to solve every problem with it. Hope this helps!