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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents specifying an individual's treatment preferences when they cannot make decisions themselves. He emphasizes the importance of shared decision-making between doctors and patients but acknowledges situations where patients cannot communicate due to illness or emergencies. In such cases, advance directives identify a trusted individual—such as a spouse, sibling, or friend—who can make decisions on the patient's behalf. The discussion highlights the need for clarity in communication about these preferences to ensure that doctors know whom to consult in critical situations.