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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 state their medical preferences in situations where they are unable to make decisions for themselves due to illness or incapacity. The process of shared decision-making between doctors and patients is essential, but there are circumstances where communication may not be possible. In such cases, it is crucial to designate a person—such as a spouse, sibling, or friend—who can make decisions on the patient's behalf. Without an advance directive, healthcare providers may not know whom to consult for guidance.