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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 when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients in optimal circumstances. However, in emergencies where patients cannot communicate—due to illness or unconsciousness—having an advance directive ensures there is clarity on who should make healthcare decisions on their behalf. This could be a spouse, sibling, or friend, highlighting the necessity for doctors to understand who to consult in such situations to respect the patient's wishes.