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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 specifies a person's healthcare preferences if they become unable to make decisions for themselves. This situation may arise if a patient is too sick or unresponsive, making it difficult for doctors to engage in shared decision-making. In such cases, having an advance directive helps clarify whom doctors should consult for decision-making—this could be a spouse, sibling, or even a friend. However, it is crucial that the chosen individual is familiar to the healthcare team to ensure effective communication.