I got my first programming job 15 years ago. It doesn't seem like that long ago, but in the world of IT that is a long time. I have spent all of that time in the Nashville Healthcare heavy IT scene. There was no SCRUM, no Test Driven development, no Agile, and not much off shore development. Microsoft was the only development platform for "real" developers. We did waterfall, we made a butt load of .dlls, and we liked it. IT in Nashville has changed. Join our distinguished panel of developers to discuss things that have changed for the better, and current trends that just aren't working.