Don't neglect the gift that is in you, which was given to you by prophecy, with the laying on of the hands of the elders.
By prophecy = with prophecy, The H.S. instructed Paul to do this (speaking to Paul, or through another prophet). Along with Paul laying his hands on Timothy to impart a gift 2 Timothy 1:6, Romans 1:11 (though never disclosed what that spiritual gift was, it probably had to do with his ministry as an orator, teacher, and organizer) presbyters, or elders, had also laid their hands on Timothy.