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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 the healthcare decisions a person wants if they are unable to communicate those decisions themselves, due to severe illness or an emergency. It emphasizes the importance of shared decision-making between doctors and patients. In situations where a patient cannot express their wishes, the advance directive designates a surrogate decision-maker, such as a spouse, sibling, or friend. This ensures that healthcare providers know who to consult regarding the patient’s preferences for treatment.