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In this tutorial, Dr. Neil Winger discusses advance directives, which are legal documents that express a person's preferences for medical treatment when they are unable to make decisions for themselves. He emphasizes the importance of shared decision-making between doctors and patients. However, in situations where patients cannot communicate—due to illness or emergencies—advance directives become crucial. They specify who should be consulted for decision-making on the patient’s behalf, whether it's a spouse, sibling, or friend. It highlights the need for clearly outlining these preferences to ensure that healthcare providers know whom to turn to for guidance.