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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents allowing individuals to specify their treatment preferences when they cannot make decisions for themselves. He explains that optimal medical care involves shared decision-making between doctors and patients. However, there are situations where patients may be unable to communicate their wishes, such as during severe illness or unconsciousness. In these cases, it is important to designate a person—such as a spouse, sibling, or friend—whom doctors can consult to make decisions on the patient’s behalf. This highlights the necessity of advance directives to ensure that one's healthcare preferences are honored.