Those had their own limitations. But, yes, today's equivalent--whiteboarding--can be an effective communication tool for someone who knows and understands material having a discussion with a (preferably small) audience.
That said, I remember lots of transcription from a professor's notes to a blackboard to students' notebooks with very little value-add along the way.
Most diagrams were drawn on the fly - meaning a minimalistic approach, only conveying the information necessary.