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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their medical treatment preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients to ensure treatment reflects patients' wishes. However, in cases where patients are unable to communicate—due to illness or trauma—advance directives help determine who can make decisions on their behalf. Dr. Winger highlights the significance of designating a trusted individual, such as a spouse, sibling, or friend, whom doctors can consult in these circumstances, underlining the necessity of advance directives for effective healthcare.