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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that outline a person's preferences for medical treatment in case they become unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, noting that there are instances where patients cannot communicate their wishes due to illness or emergencies. In such cases, it is crucial to designate someone—such as a spouse, sibling, or friend—who can make decisions on their behalf. The tutorial highlights the need for clarity in whom doctors should consult for guidance in these situations, ensuring that patients' wishes are respected even when they cannot express them.