Other honors and accomplishments over the years for Dr. Koch include serving as founder and advisor of the Student Club for Ongoing Pathological Education; numerous Golden Apple and Basic Science Teacher of the Year awards; the 2014 Outstanding SSOM Alumnus for his teaching efforts; nearly 50 peer reviewed articles published and nearly 1,000 citations in pathology literature. He was granted professor emeritus status by the University of South Dakota upon retirement. Dr. Koch has been board certified by the American Board of Pathology in Anatomic and Clinical Pathology since 1996.