Iterations in electronics are really expensive (my last project cost $30k for 10 assembled prototypes not including of our labor) so most people just copy as much of the manufacturers' reference design as they need. They pour over PCB layout notes and look at how the manufacturer or other customers did and mostly just copy them. Most of my engineering decisions are based on about a dozen black box helper apps that take in my fab's capabilities and signal specs and spit out DRC rules. It gets a little trickier with antenna design but that's often outsourced because you need very specialized facilities for FCC certification anyway.
All in all, it's just like working on a complex distributed system. There are so many things to juggle like R&D budget, per unit COGS and space budget, suppliers and part availability, and supply chain orchestration that it ends up being lots of boring work just to coordinate between all the different experts involved with small bursts of productivity when everyone is properly aligned.