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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 allows individuals to specify their medical treatment preferences in situations where they are unable to make decisions for themselves, such as being too ill or unresponsive. Winger emphasizes the importance of clear communication in shared decision-making between doctors and patients. He highlights the necessity of designating a decision-maker, such as a spouse, sibling, or friend, to guide medical choices when the patient is incapacitated. This ensures that medical care aligns with the patient’s wishes, even when they cannot express them.