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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that outline a person's preferences for medical treatment when they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients, but highlights situations where patients may be unable to communicate their wishes, such as being too ill or unconscious. In these cases, it's crucial to designate someone—like a spouse, sibling, or friend—whom doctors can consult for guidance. Dr. Winger stresses that having an advance directive ensures that medical decisions align with the patient's desires, even in unexpected circumstances.