It's not. We tried. Plus, it doesn't work on RDS, where most of production databases are. I think Citus was a great first step in the right direction, but it's time to scale the 99% of databases that don't run on Azure Citus already.
That's because Amazon wants to do whatever they like themselves... you apparently can get stuff to work by running your own masters (w/ citus extension) in EC2 backed by workers (Postgres RDS) in RDS:
Depends on your schema, really. The hard part is choosing a distribution key to use for sharding- if you've got something like tenant ID that's in most of your queries and big tables, it's pretty easy, but can be a pain otherwise.
For a multi-tenant use case, yeah, pretty close to thinking about partitioning.
For other use cases, there can be big gains from cross-shard queries that you can't really match with partitioning, but that's super use case dependent and not a guaranteed result.