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In this tutorial, Neil Winger, a primary care physician affiliated with the UCLA Health Ethics Center, discusses advance directives. An advance directive is a legal document that specifies an individual's preferences for medical treatment when they are unable to communicate their wishes. This situation may arise if a patient is too ill or unconscious, preventing effective shared decision-making with their healthcare providers. It is crucial for patients to designate a trusted person, such as a spouse, sibling, or friend, to make medical decisions on their behalf in such circumstances. The video emphasizes the importance of having advance directives in place to ensure that treatment aligns with the patient's desires.