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In this tutorial, Dr. 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 treatment preferences in situations where they cannot communicate their wishes, such as being too sick or unconscious. Effective shared decision-making between doctors and patients relies on understanding patient preferences. To facilitate this, individuals should designate someone—be it a spouse, sibling, or friend—as their decision-maker. It’s crucial that healthcare providers know whom to consult about treatment decisions, highlighting the need for advance directives.