Guided by the themes previously identified as underlying intrafamilial obligations to communicate, normative documents were first examined to identify key considerations underlying each theme (Nycum et al. 2009a). To supplement the analysis, alternative regulatory

scenarios were obtained by examining the regulatory frameworks in Australia, UK, France, and the USA, while additional considerations were identified through searches of the academic literature. From this analysis, a preliminary draft of the points to consider was assembled. Consultative process Validation of the points to consider was conducted by an iterative two-step consultative process, which took place in spring and autumn of 2010. In the first step, the preliminary draft points to consider was circulated among representative stakeholders purposefully drawn from the Vistusertib cell line following stakeholder groups: nursing, genetic counseling, and patient advocacy communities for hereditary breast and ovarian cancer. Participants were gathered from the Montreal region and identified through existing networks. In the round table discussion that took place in Montreal in April 2010, participants were

asked to comment on the content of the draft points to consider, identify key priorities, and supplement the points based on experience. The draft points to consider was revised to reflect input gained from the first consultation. In the second step, the revised points to consider was circulated and presented as oral presentations to audiences of researchers and trainees Protirelin in two separate Saracatinib forums: the Canadian Association of Genetic Counsellors Annual Education Conference, held in Halifax, NS, in October 2010, and the National Conference on Genomics and Public Health, held in Bethesda, Maryland, in December 2010. The points to consider was further modified to reflect feedback obtained from conference

participants following each presentation. Revisions were made under the auspices of the Chatham House Rule, as no comments were attributed to any individual or organization. Results Who is part of the genetic family? Any obligation to disclose genetic information to family members rests upon the determination of who, exactly, is “family.” This may seem like a simple question, but the genetic context raises a number of complexities. Should the family be defined exclusively by genetic or blood ties? What degree of blood relation should be required when considering inclusion in the family? Should factors other than biology be taken into consideration when defining the genetic family? For example, should individuals with strong social or legal ties who could have an interest in the information, such as non-biological children, spouses, partners, and in-laws, be included as members of the family when it comes to genetic information? Definitions of genetic family have been debated among scholars, and both traditional and broad views have been see more advocated.