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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that specify a person's wishes regarding medical treatment if they become unable to make decisions for themselves. He emphasizes the importance of advance directives in facilitating shared decision-making between patients and doctors. In situations where patients cannot communicate—due to illness or unconsciousness—it is crucial to have someone designated to make decisions on their behalf, such as a spouse, sibling, or friend. The challenge arises when healthcare providers are uncertain about whom to consult in such circumstances, underscoring the necessity for advance directives.