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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that express a person's medical decisions for situations where they cannot communicate their wishes due to illness or incapacity. He emphasizes the importance of shared decision-making between doctors and patients but notes that there may be instances where patients are unable to voice their preferences. In such cases, it’s crucial to designate a trusted individual, such as a spouse, sibling, or friend, to make medical decisions on one's behalf. However, he warns that doctors may not automatically know whom to contact, highlighting the necessity of advance directives for guiding care preferences during critical moments.