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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that indicate a person's wishes regarding medical treatment when they are unable to make decisions for themselves. He highlights the importance of shared decision-making between doctors and patients to ensure treatments align with patient desires. However, there may be situations where patients cannot communicate their wishes due to illness or emergencies. The advance directive identifies who should be consulted for decision-making in such cases, emphasizing the need for clear communication about whom doctors should turn to—be it a spouse, sibling, or friend—to honor the patient's preferences effectively.