Last one I went to was 3 years ago.
Total procedures focussed - always review the DF'ing procedure - every time.
Very little shepherding - of course it is mentioned but if they exerted the same energy into - how can we help single mothers, or how can we help teenagers cope, etc that would be a different religion.
Every Elder turns up with their note pad and elders book and they basically go through points using the elders book. Every one I went to mentioned the Pedophilia processes as well - stressing to contact legal department first.
Of course there was the good dose of guilt and what more you can do.
As an elder who really tried to serve and tried to follow Jesus example - I used to return from those full of self doubt and the feeling that I needed to do more.
Pretty sure they have not changed much.