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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 outlines a person's healthcare preferences in situations where they are unable to make decisions for themselves. This may occur due to serious illness or incapacitation. Effective doctor-patient communication is crucial for shared decision-making; however, unexpected circumstances can arise where patients cannot convey their wishes. In such cases, it's essential to designate someone—like a spouse, sibling, or trusted friend—who can guide medical decisions. Advance directives ensure that healthcare providers have clear directives on whom to consult for making choices.