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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that allow individuals to specify their healthcare preferences in situations where they cannot make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients. However, medical emergencies may prevent patients from communicating their wishes. In such cases, it's vital to designate someone—like a spouse, sibling, or friend—who can assist healthcare providers in making decisions. Dr. Winger highlights the need for advance directives to ensure that healthcare decisions align with patients' preferences, especially if their chosen decision-maker isn't familiar to the medical team.