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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that allow individuals to specify their healthcare preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients under normal circumstances. However, there may be times when patients are unable to communicate their wishes due to illness or emergencies. In such cases, it is crucial to have someone designated to help make decisions, such as a spouse, sibling, or friend. Dr. Winger highlights that advance directives ensure that healthcare providers know who to consult when patients cannot express their preferences directly.