It is interesting to note that the tangent at point $(p,q)$ for the circle $(x-h)^2+(y-k)^2=r^2$ is $$(x-h)(p-h)+(y-k)(q-k)=r^2$$ which is formulated simply by replacing one component of the squared $(x-a), (y-b)$ term with $p,q$ instead of $x,y$, i.e. "fixing" one of the components at $(p,q)$ and "releasing" the other.
Hence the tangent can be worked out instantly without going through the laborious process of finding the parametric point, differentiating to find the slope, and constructing the tangent equation!
Interestingly this seems to work for all conics (although not for other curves in general).
$$\begin{array} &&&\\ \hline \textbf{Conic}&\textbf{Equation}&\textbf{Tangent at }(p,q)\\ &\hline\\ \text{Circle} &\dfrac{(x-h)^2}{a^2}+\dfrac{(y-k)^2}{a^2}=1\qquad &\dfrac{(x-h)(p-h)}{a^2}+\dfrac{(y-k)(q-k)}{a^2}=1\qquad\\\\ \text{Ellipse}\qquad &\dfrac{(x-h)^2}{a^2}+\dfrac{(y-k)^2}{b^2}=1 &\dfrac{(x-h)(p-h)}{a^2}+\dfrac{(y-k)(q-k)}{b^2}=1\\\\ \text{Hyperbola}\qquad &\dfrac{(x-h)^2}{a^2}-\dfrac{(y-k)^2}{b^2}=1 &\dfrac{(x-h)(p-h)}{a^2}-\dfrac{(y-k)(q-k)}{b^2}=1\\\\ \text{Parabola} &\dfrac{(x-h)^2}{a^2}+\dfrac{y-k}b=1 &\dfrac{(x-h)(p-h)}{a^2}+\dfrac{\frac12 (\overline{y-k}+\overline{q-k})}b=1\\ \hline \end{array}\\ $$
See desmos implementation here.
Why does this work, and is there an intuitive or geometric explanation?
Addendum
Following some very useful solutions posted, here's a desmos implementation for the "Instant Tangent" of a general conic.