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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that specify a person's preferences for medical treatment when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, but acknowledges that there may be situations where communication is not possible due to illness or injury. In such cases, advance directives designate an individual—such as a spouse, sibling, or friend—who can make healthcare decisions on the patient's behalf. This ensures that medical care aligns with the patient's wishes, even if they cannot communicate them directly.